CN101488963A - Electronic medical information processing method and system - Google Patents

Electronic medical information processing method and system Download PDF

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Publication number
CN101488963A
CN101488963A CNA200910077891XA CN200910077891A CN101488963A CN 101488963 A CN101488963 A CN 101488963A CN A200910077891X A CNA200910077891X A CN A200910077891XA CN 200910077891 A CN200910077891 A CN 200910077891A CN 101488963 A CN101488963 A CN 101488963A
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data center
medical information
subordinate
higher level
backup
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包建军
张余
吕恒
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China United Network Communications Group Co Ltd
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CHINA NETWORK COMMUNICATIONS GROUP Corp
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Abstract

The invention relates to an electronic medical information processing method and system. The method comprises: a first intermediate data centers at lower levels sends medical information to identify the relocation request from the first data center to obtain the user ID to determine the first intermediate storage in the data center described in the first intermediate in the overall marking the existence of the list referred to in the user's identity; If there is, from the corresponding user ID and described the second lower data center access to the appropriate medical information, medical information will be sent to the above mentioned lower data center first, otherwise referred to in the first data center to the intermediate referred to medical information requests sent to the superior migration of the data center. System includes: first the lower data center, the first intermediate data centers, data centers, as well as a second lower data center superiors. The invention of electronic medical information processing method and system of the electronic medical information between data centers to exchange and share.

Description

Electronic medical information processing method and system
Technical field
The present invention relates to electronic medical information processing method and system, belong to network communications technology field.
Background technology
Along with the continuous development of network technology, by the collaborative medical services of network realization and the management and shared also fast development thereupon of medical information.Collaborative medical services are a kind ofly can improve the medical resource utilance, realize the novel medical services pattern that has complementary functions between big infirmary and the type community medical sanitary service centre.
At present, main medical service system has hospital information system (Hospital InformationSystem, hereinafter to be referred as: HIS), medical image files and communication system (Picture Archiving andCommunication System, hereinafter to be referred as: PACS) and LIMS (Laboratory Information Management System, hereinafter to be referred as: LIS) etc.HIS utilizes electronic computer and communication apparatus to carry out networking at hospital internal, the website setting is carried out in function division according to all departments of hospital, for component commands of hospital door provides collection, storage, processing, extraction and data interchange capacity to patient's diagnosis and treatment information and administration information, and satisfy the functional requirement of all authorized users.PACS is the combination of radiology, medical imaging, digitized image technology, computer technology and the communication technology, it is converted into the computer digit form with the medical image data, by supercomputing equipment and communication network, finish functions such as collection, storage, management, processing and transmission, make image document effectively be managed and make full use of image information.Its main application direction is: device clusters uses, the sharing and select of multiple output equipments such as comprising from multiple image documentation equipment or digitizer images acquired, take pictures and print; Image transmission and dispensing are included in hospital in quick transmit image data, remote transmission image and diagnosis report etc. between each section office; The medical assistance function comprises management, processing, conversion of medical image data etc.LIS is the important part of HIS, its major function be will check the check data that spreads out of of laboratory apparatus by analysis after, generate survey report, in database, make the doctor can make things convenient for, see timely patient's assay by the network storage.Aim at a cover LIMS of hospital laboratory design, laboratory apparatus and computer can be formed network, make patient samples login, experimental data access, report audit, print and distribute, numerous and diverse operating process such as experimental data statistical analysis have realized intellectuality, automation and standardized management.
Along with the pilot success of Regional Synergetic medical services demonstration project and the progressively popularization of achievement in research, to build electronic medical treatment data center in the whole country, thereby realize nationwide electron medical treatment business, to solve management that HIS, PACS and LIS only can carry out medical information at hospital internal and to share, can't realize the management and the problem of sharing of medical information between the hospital.Therefore, along with the construction of nationwide electronic medical treatment data center, how to realize the information exchange between each electronic medical treatment data center and share becoming the technical problem that needs to be resolved hurrily.
Summary of the invention
The objective of the invention is defective, a kind of electronic medical information processing method and system are provided, to realize the information exchange between each electronic medical treatment data center and to share at above-mentioned prior art.
For achieving the above object, the invention provides a kind of electronic medical information processing method, comprising:
User ID is obtained in the identification from the medical information migration request that first data center of subordinate sends of the first intermediate data center, judges in the first intermediate overall identification tabulation that is stored in the described first intermediate data center whether have described user ID; If exist, then obtain corresponding medical information from second data center of subordinate corresponding with described user ID, and described medical information sent to described first data center of subordinate, otherwise the described first intermediate data center sends to higher level data center with described medical information migration request.
For achieving the above object, the present invention also provides a kind of electron medical treatment information processing system, comprising:
First data center of subordinate is used to send the medical information migration request of carrying user ID, receives the medical information corresponding with described user ID;
The first intermediate data center, be used for judging according to described medical information migration request whether the first intermediate overall identification tabulation of described first intermediate data center storage exists described user ID, when existing, obtain corresponding medical information, and described medical information is sent to described first data center of subordinate according to described user ID;
Second data center of subordinate is used for providing described medical information to the described first intermediate data center;
Higher level data center is used for receiving the described medical information migration request that the described first intermediate data center sends when there is not described user ID in the described first intermediate overall identification tabulation.
Electronic medical information processing method of the present invention and system, when first data center of subordinate does not inquire the medical information corresponding with user ID, ask the first intermediate data center to assist to obtain corresponding medical information, and the first intermediate data center can transfer corresponding medical information according to user ID from second data center of subordinate, and the medical information that obtains fed back to first data center of subordinate, in first data center of subordinate, do not store under the situation of this user ID, this first intermediate data center can also ask more senior, the higher level data center that has stored the more users sign obtains corresponding medical information, thereby has realized the shared of medical information between other data centers in first data center of subordinate and the network; All user ID of in first data center of subordinate and second data center of subordinate, registering have been stored in this first intermediate data center, therefore can dispatch the medical information that is stored in the medical information in first data center of subordinate and be stored in second data center of subordinate, also can ask the higher level center that the medical information that is stored in other data centers is dispatched, thereby realize the exchange of medical information and the unified monitoring of medical information and the function of management.
Below by drawings and Examples, technical scheme of the present invention is described in further detail.
Description of drawings
Fig. 1 is the flow chart of electronic medical information processing method first embodiment of the present invention;
Fig. 2 is the flow chart of electronic medical information processing method second embodiment of the present invention;
Fig. 3 is the flow chart of electronic medical information processing method the 3rd embodiment of the present invention;
Fig. 4 is the flow chart of electronic medical information processing method the 4th embodiment of the present invention;
Fig. 5 is the structural representation of electron medical treatment information processing system first embodiment of the present invention;
Fig. 6 is the structural representation of electron medical treatment information processing system second embodiment of the present invention.
Embodiment
Method first embodiment
Fig. 1 is the flow chart of electronic medical information processing method first embodiment of the present invention.As shown in Figure 1, the method for present embodiment comprises:
User ID is obtained in the identification from the medical information migration request that first data center of subordinate sends of step 101, the first intermediate data center;
Step 102, judge in the first intermediate overall identification tabulation be stored in the first intermediate data center whether have described user ID, if exist, then execution in step 104, otherwise execution in step 103;
Step 103, the first intermediate data center send to higher level data center with this medical information migration request;
Step 104, the first intermediate data center obtain corresponding medical information from second data center of subordinate corresponding with described user ID;
Step 105, the first intermediate data center send to first data center of subordinate with this medical information.
The method that present embodiment provides can realize sharing of medical information between the hospital.Specifically, the patient of each prescription on individual diagnosis has unique user ID that registration is obtained in first data center of subordinate or second data center of subordinate.This data center of first subordinate can be regarded as the data center that prefecture-level hospitals different under the same province safeguards with second data center of subordinate.When the doctor checks the medical information corresponding with a certain prescription on individual diagnosis patient in first data center of subordinate, do not find corresponding user ID, promptly this patient did not register in first data center of subordinate, so first data center of subordinate will send to the medical information migration request of carrying this user ID the first intermediate data center.
This first intermediate data center can be considered to be the data center that provincial hospital is safeguarded, has wherein stored all patients' that registered in first data center of subordinate that is under the jurisdiction of this first intermediate data center and second data center of subordinate user ID.As required, the first intermediate data center can also connect the data center of more subordinates except first data center of subordinate and second data center of subordinate down.
This first intermediate data center discerns from this medical information migration request and obtains this user ID, tabulate according to the first intermediate overall identification that this user ID inquiry is stored in this first intermediate data center, judge in this first intermediate overall identification tabulation whether have this user ID.If exist, then the first intermediate data center can judge this user ID according to this user ID and belongs to second data center of subordinate, can obtain corresponding medical information from this data center of second subordinate, and the medical information that gets access to is fed back to first data center of subordinate; If there is no, illustrate that then this user ID do not register in this first intermediate data center, then this first intermediate data center medical information migration request that just will carry this user ID sends to higher level data center.This higher level data center can be regarded as the data center that national hospital safeguards, has wherein stored the data center that is included in each provincial hospital, i.e. all user ID of registering in the first intermediate data center or the how intermediate data center.Therefore, by asking this higher level data center can assist this first intermediate data center to obtain the medical information corresponding with this user ID from other data centers.
When present embodiment does not inquire the medical information corresponding with user ID in first data center of subordinate, ask the first intermediate data center to assist to obtain corresponding medical information, and the first intermediate data center can transfer corresponding medical information according to user ID from second data center of subordinate, and the medical information that obtains fed back to first data center of subordinate, in first data center of subordinate, do not store under the situation of this user ID, this first intermediate data center can also ask more senior, the higher level data center that has stored the more users sign obtains corresponding medical information, thereby has realized the shared of medical information between other data centers in first data center of subordinate and the network; All user ID of in first data center of subordinate and second data center of subordinate, registering have been stored in this first intermediate data center, therefore can dispatch the medical information that is stored in the medical information in first data center of subordinate and be stored in second data center of subordinate, also can ask the higher level center that the medical information that is stored in other data centers is dispatched, thereby realize the exchange of medical information and the unified monitoring of medical information and the function of management.
Method second embodiment
Fig. 2 is the flow chart of electronic medical information processing method second embodiment of the present invention.As shown in Figure 2, present embodiment, may further include before execution in step 101 based on electronic medical information processing method first embodiment of the present invention:
Step 106, the inquiry of first data center of subordinate be first subordinate overall identification tabulation of storage wherein;
Step 107, judge in overall identification tabulation of this first subordinate whether have the user ID that receives;
If exist, then execution in step 108, otherwise execution in step 109;
Step 108, first data center of subordinate extract corresponding medical information;
The medical information migration request that user ID will be carried by step 109, first data center of subordinate sends to the first intermediate data center.
Specifically, first data center of subordinate within it portion can safeguard one first subordinate overall identification tabulation.Can be stored in the whole patients' that registered in this data center of first subordinate user ID in this first subordinate overall identification tabulation.
In actual applications, when the patient removes this data center of first subordinate place hospital admission, the user ID that can show him, whether first data center of subordinate can this patient's of inquiry user ID exist in this first subordinate overall identification tabulation, promptly whether this user ID was registered in this data center of first subordinate, if exist, then first data center of subordinate need not ask the first intermediate data center can directly obtain the medical information corresponding with this patient; If there is no, then this data center of first subordinate inquiry just needs the request first intermediate data center to assist to obtain corresponding medical information less than this patient's medical information.
In addition, before execution in step 104, can also comprise:
Step 110, second data center of subordinate extract the medical information corresponding with user ID, send this medical information to the first intermediate data center, and tabulate according to second subordinate's overall identification that user ID updates stored in second data center of subordinate.
Specifically, second data center of subordinate is after the medical information migration request that receives the transmission of the first intermediate data center, can from this medical information migration request, obtain the user ID of the medical information that will extract, and extract corresponding medical information, and this medical information is sent to the first intermediate data center according to this user ID.Simultaneously, this data center of second subordinate also wants updated stored second subordinate overall identification tabulation therein.Stored the user ID of in second data center of subordinate, registering in this second subordinate overall identification tabulation, after the pairing medical information of handle and user ID extracts away, second data center of subordinate will be with this user ID deletion from this second subordinate overall identification tabulation, and promptly user ID and corresponding medical information are moved out from this data center of second subordinate.
Further, before execution in step 105, can also comprise:
Step 111, the first intermediate data center upgrade the first intermediate overall identification tabulation according to user ID;
Step 112, send the first intermediate backup information, so that the first intermediate Backup Data center is stored in this first intermediate Backup Data in the heart the first middle rank backup overall identification tabulation according to the first intermediate overall identification list update after upgrading to the first intermediate Backup Data center.
Specifically, this first intermediate data center has also safeguarded the first intermediate overall identification tabulation therein, stored the user ID of registering in connected all data centers of subordinate in this first intermediate overall identification tabulation, data center of connected here subordinate is first data center of subordinate and second data center of subordinate.When medical information when second data center of subordinate moves to first data center of subordinate by the first intermediate data center, the first intermediate data center need upgrade the relative users sign of storage in its first intermediate overall identification tabulation according to this user ID, and the medical information corresponding with this user ID moved in first data center of subordinate to upgrade in time.
In addition, the first intermediate data center also will carry out back-up processing in the heart with the first intermediate overall identification tabulation after upgrading in the first intermediate Backup Data, promptly send the first intermediate backup information to the first intermediate Backup Data center.This first intermediate Backup Data center replaces the function of this first intermediate data center in the time of can breaking down in the first intermediate data center.Therefore, first of the storage intermediate backup overall identification tabulation in the heart can be synchronous with the first intermediate overall identification tabulation in the first intermediate data center according to the first intermediate backup information that receives in this first intermediate Backup Data.
Need to prove that above-mentioned steps 111 and step 112 also can be carried out after step 105.
In the present embodiment, first data center of subordinate can judge by first subordinate overall identification tabulation of inquiring about its maintenance whether user ID is registered, if there is not registration can also ask the first intermediate data center to assist to obtain the medical information corresponding with this user ID; When second data center of subordinate after the first intermediate data center provides the medical information corresponding with requesting users sign, second data center of subordinate need upgrade the overall identification tabulation of second subordinate, the first intermediate data center also will upgrade the first intermediate overall identification tabulation according to this user ID, thereby after finishing the scheduling operation of medical information, realize the renewal of user ID ownership place; In addition, the first intermediate data center also will be according in the heart the first middle rank backup overall identification tabulation in the first intermediate overall identification list update first intermediate Backup Data after upgrading, guarantee when there is fault in the first intermediate data center with this, the first intermediate Backup Data center can substitute the first intermediate data center and finish its function, thus the stability of safeguards system.
Method the 3rd embodiment
Fig. 3 is the flow chart of electronic medical information processing method the 3rd embodiment of the present invention.As shown in Figure 3, present embodiment, can also comprise after execution of step 105 based on electronic medical information processing method first embodiment of the present invention:
Step 113, higher level data center discern from medical information transfer request and obtain user ID, determine the address information of the second intermediate data center corresponding, the medical information migration request is sent to the second intermediate data center according to this address information with this user ID;
Higher level data center can be connected with a plurality of intermediate data centers, and the data center that promptly national hospital safeguards can be connected with the data center that a plurality of provincial hospitals are safeguarded.It is the second intermediate data center in a plurality of intermediate data centers that higher level data center can determine corresponding with this user ID according to the user ID in the medical information migration request, and according to the address information of this second intermediate data center this medical information migration request is sent to the second intermediate data center.
Step 114, the second intermediate data center discern from medical information transfer request and obtain user ID, and this medical information migration request is sent to the three subordinate data center corresponding with this user ID;
The medical information migration request can further be handed down to the 3rd corresponding data center of subordinate in the second intermediate data center.
Step 115, the 3rd data center of subordinate discern from medical information transfer request and obtain user ID, extract the medical information corresponding with user ID, send this medical information to the second intermediate data center, and tabulate according to the 3rd subordinate's overall identification that this user ID updates stored in the 3rd data center of subordinate;
All user ID of in the 3rd data center of subordinate, registering have been stored in the overall identification tabulation of the 3rd subordinate, after the 3rd data center of subordinate handle and the pairing medical information of user ID send to the second intermediate data center, the 3rd data center of subordinate will be with this user ID deletion from the overall identification tabulation of the 3rd subordinate, and promptly user ID and corresponding medical information are moved out from this data center of second subordinate.
Step 116, the second intermediate data center tabulate according to the second intermediate overall identification that user ID is upgraded wherein storage, send the second intermediate backup information to the second intermediate Backup Data center, and medical information is sent to higher level data center;
This second intermediate Backup Data center can make the second intermediate Backup Data center be stored in the second intermediate Backup Data in the heart the second middle rank backup overall identification tabulation according to the second intermediate overall identification list update after upgrading, thus realize in the middle of the second intermediate overall identification tabulation and the second middle rank backup overall identification tabulation synchronously.
Need to prove, the second intermediate data center upgrades the second intermediate overall identification tabulation of wherein storage, and sending the step of the second intermediate backup information can not have sequencing with the step that medical information is sent to higher level data center to the second intermediate Backup Data center on execution sequence.
Step 117, higher level data center tabulate according to higher level's overall identification that user ID is upgraded wherein storage, send higher level's backup information to higher level's Backup Data center, and medical information is sent to the first intermediate data center;
This higher level's backup information can make higher level's Backup Data center back up the overall identification tabulation according to the higher level that the higher level's overall identification list update after upgrading is stored in higher level's Backup Data in the heart, thereby realizes that tabulation of higher level's overall identification and higher level back up synchronous between the overall identification tabulation.
Need to prove, higher level data center tabulates according to higher level's overall identification that user ID is upgraded wherein storage, and sending the step of higher level's backup information can not have sequencing with the step that medical information is sent to the first intermediate data center to higher level's Backup Data center on execution sequence.
Step 118, the first intermediate data center tabulate according to the first intermediate overall identification that this user ID is upgraded wherein storage, send the first intermediate backup information to the first intermediate Backup Data center, and this medical information is sent to first data center of subordinate;
The first intermediate backup information can make the first intermediate Backup Data center be stored in the first intermediate Backup Data in the heart the first middle rank backup overall identification tabulation according to the first intermediate overall identification list update after upgrading, thereby realizes synchronous between the first intermediate overall identification tabulation and the first middle rank backup overall identification tabulation.
Need to prove, the first intermediate data center tabulates according to the first intermediate overall identification that this user ID is upgraded wherein storage, and sending the step of the first intermediate backup information can not have sequencing with the step that this medical information is sent to first data center of subordinate to the first intermediate Backup Data center on execution sequence.
Step 119, first data center of subordinate receive this medical information, and upgrade the overall identification tabulation of first subordinate according to this user ID.
Upgrade the overall identification tabulation of first subordinate according to this user ID after, represent that promptly the pairing medical information of this user ID has been moved in first data center of subordinate.
In the present embodiment, higher level data center can determine the second corresponding intermediate data center according to user ID, and the second intermediate data center can obtain medical information and send to higher level data center from the 3rd data center of subordinate of correspondence; Higher level data center feeds back to the medical information that gets access to the first intermediate data center that sends the medical information migration request again, and the first intermediate data center is transmitted to this medical information first data center of subordinate again, finishes the migration of medical information with this; Be sent in the process of first data center of subordinate by the 3rd data center of subordinate, the second intermediate data center, higher level data center and first this path of intermediate data center at medical information, every through a data center, current data center all will safeguard the overall identification tabulation of wherein storage according to user ID, thus the current attaching information of the medical information corresponding that upgraded in time with this user ID; In addition, the first intermediate data center, the second intermediate data center and higher level data center send backup information to the data backup center corresponding with it respectively, therefore, when the first intermediate data center, the second intermediate data center or higher level data center break down, can carry out function by corresponding data backup center reliably, thereby guarantee the stability of system.
Method the 4th embodiment
Fig. 4 is the flow chart of electronic medical information processing method the 4th embodiment of the present invention.As shown in Figure 4, present embodiment can further include before step 101 based on electronic medical information processing method first embodiment of the present invention:
Step 120, second data center of subordinate carry out location registration process to user ID, and in the first intermediate data center and higher level data center user ID are carried out location registration process.
Above-mentioned step of in the first intermediate data center and higher level data center user ID being carried out location registration process can specifically comprise: second data center of subordinate sends the register requirement of carrying user ID to the first intermediate data center, the first intermediate data center discerns from register requirement and obtains user ID then, user ID is sent to higher level data center, and in the first intermediate overall identification tabulation, add user ID; At last, add user ID in higher level's overall identification tabulation that higher level data center stores therein.
Second data center of subordinate can carry out location registration process to the user ID that receives, and the patient that this process makes each go to a doctor in second data center of subordinate can obtain a unique user ID; Second data center of subordinate sends to the first intermediate data center and higher level data center with this user ID, the user ID that makes the patient get access to all is unique in all data centers, and can know all that by the first intermediate data center and higher level data center the medical information ownership corresponding with this user ID is in second data center of subordinate.Present embodiment only is illustrated to be registered as example in second data center of subordinate, and the process of carrying out location registration process in first data center of subordinate is similar with it.
In addition, present embodiment can further include:
Step 121, the first intermediate data center send the first middle rank registration backup information to the first intermediate Backup Data center, and higher level data center sends the higher level to higher level's Backup Data center and registers backup information;
The first middle rank registration backup information can make things convenient for the first intermediate Backup Data center to upgrade the first middle rank backup overall identification tabulation of wherein storage according to this first middle rank registration backup information; Higher level's Backup Data center according to this higher level register the higher level that backup information upgrades wherein storage and back up the overall identification tabulation.
Step 122, the first intermediate Backup Data center judge whether receive first state information that the first intermediate data center sends in Preset Time, if then execution in step 123, otherwise, execution in step 124;
This first state information is the state information that keeps heartbeat between the first intermediate data center and the first intermediate Backup Data center.The first intermediate Backup Data center can be by judging that whether receiving this first state information in Preset Time judges whether the work at present of the first intermediate data center is normal.
Step 123, next bar first state information of reception that continues to wait for;
If the operating state of the first intermediate data center is normal, then the first intermediate Backup Data center promptly can receive this first state information in Preset Time, and this first intermediate Backup Data center can be accepted one first state information and carry out timing by the mode of counter O reset is docked again.
Step 124, the level that makes progress data center, first data center of subordinate and second data center of subordinate send first handover information;
Can make progress a grade data center, first data center of subordinate and second data center of subordinate of this first handover information sends switching command, and it is higher level data center, first data center of subordinate and second subordinate's data center services that the indication first intermediate Backup Data center of will adopting replaces the first intermediate data center.
Step 125, judge that when the first intermediate Backup Data center when receiving first state information again in Preset Time, the first an intermediate Backup Data center upwards level data center, first data center of subordinate and second data center of subordinate sends first recovering information.
When the first intermediate Backup Data center receives first state information again in Preset Time, the fault that the first intermediate data center is described is got rid of, can carry out work by restore funcitons, then the first intermediate Backup Data center is with regard to upwards a level data center, first data center of subordinate and second data center of subordinate send first recovering information, this first recovering information can be indicated the functional rehabilitation with the first intermediate data center, provides service for higher level data center, first data center of subordinate and second data center of subordinate again.
Above-mentioned steps 121~step 125 both can be carried out before step 101~step 105, also can carry out after step 101~step 105 again, and this does not influence the function that method realized of present embodiment.And present embodiment is that example is illustrated with the first intermediate data center and the first intermediate Backup Data center to the greatest extent, and the implementation procedure at the second intermediate data center and the second intermediate Backup Data center similarly.
In addition, present embodiment can also comprise the process that switch at higher level data center and higher level's Backup Data center, specifically comprises:
Higher level's Backup Data center judges whether receive second state information that higher level data center sends in Preset Time, if, then continue to wait for to receive next bar second state information, otherwise, second handover information sent to the first intermediate data center.
This second state information is the state information that keeps heartbeat between higher level data center and the higher level's Backup Data center.Higher level's Backup Data center can be by judging that whether receiving this state information in Preset Time judges whether the work at present of higher level data center is normal.When receiving second state information in Preset Time, then this higher level data center continues as the first intermediate data center and serves, if do not receive, then this higher level data center can send second handover information to the first intermediate data center.This second handover information can send switching command to the first intermediate data center, and it is the first intermediate data center services that indication will adopt higher level's Backup Data center to replace higher level data center.
When the judgement of higher level's Backup Data center received second state information again in Preset Time, the mind-set described first intermediate data center sent second recovering information in higher level's Backup Data.
When higher level's Backup Data center receives second state information again in Preset Time, the fault that data center is described is got rid of, can carry out work by restore funcitons, then higher level's Backup Data center just sends first recovering information to the first intermediate data center, with the functional rehabilitation of higher level data center, indicate this higher level data center to provide service for the first intermediate data center again.
Need to prove, present embodiment only higher level data center connected an intermediate data center promptly the first intermediate data center be that example is illustrated, this higher level data center also can connect other intermediate data centers as the second intermediate data center etc.When higher level data center switched to higher level's Backup Data center, other intermediate data centers also can receive second handover information as the second intermediate data center, in like manner also can receive second recovering information.
In summary, in the present embodiment, higher level data center has higher level's Backup Data center, middle rank data center has intermediate Backup Data center, guarantee when higher level data center or intermediate data center break down, can switch to higher level's Backup Data center or intermediate Backup Data center respectively with this, and in time notify connected other data centers, on the basis of realizing data centers at different levels information sharing, further make whole electron medical treatment information network reach the effect of working stability.
First embodiment of system
Fig. 5 is the structural representation of electron medical treatment information processing system first embodiment of the present invention.As shown in Figure 5, the system of present embodiment comprises: first data center of subordinate 1,2, first intermediate data center 3 and the higher level data center 4 of second data center of subordinate.Wherein, first data center of subordinate 1 is used to send the medical information migration request of carrying user ID and receives the medical information corresponding with user ID; The first intermediate data center 3 is used for judging according to the medical information migration request whether the first intermediate overall identification of the first intermediate data center, 3 storages exists this user ID in tabulating, when existing, obtain corresponding medical information, and medical information is sent to first data center of subordinate 1 according to this user ID; Second data center of subordinate 2 is used for providing medical information to the first intermediate data center 3; Higher level data center 4 is used for receiving the medical information migration request that the first intermediate data center 3 sends when there is not this user ID in the first intermediate overall identification tabulation.
Specifically, in the network architecture of reality, the whole nation is provided with a higher level data center 4, and this higher level data center 4 is exactly the data center of a national level, and all electron medical treatment users' of the storage whole nation user represents and the address information of intermediate data center in the higher level data center 4; Each province is provided with an intermediate data center, and this middle rank data center is provincial data center, and Fig. 5 is an example with the first intermediate data center 3 of certain province only; First intermediate 3 storage all the electron medical treatment users' of this province of data center the user ID and the address information of data center of subordinate; The first intermediate data center 3 is connected with higher level data center 4; Each districts and cities is provided with data center of one or more subordinate, and this data center of subordinate is prefecture-level data center, and Fig. 5 only is connected with first data center of subordinate 1 for 3 times with the first intermediate data center and second data center of subordinate 2 is that example describes; User's user ID and corresponding medical information under first data center of subordinate 1 and 2 storages of second data center of subordinate, first data center of subordinate 1 is not connected each other with second data center of subordinate 2.
Suppose that a prescription on individual diagnosis patient has unique user ID that registration is obtained in second data center of subordinate 2.When the doctor checks the medical information corresponding with this prescription on individual diagnosis patient in first data center of subordinate 1, just search less than corresponding user ID and medical information, because this patient did not register in first data center of subordinate 1, so first data center of subordinate 1 will send to the medical information migration request of carrying this user ID the first intermediate data center 3.Stored all patients' that registered in first data center of subordinate 1 and second data center of subordinate 2 user ID in this first intermediate data center 3.
This first intermediate data center 3 discerns from this medical information migration request and obtains this user ID, tabulate according to the first intermediate overall identification that this user ID inquiry is stored in this first intermediate data center 3, judge in this first intermediate overall identification tabulation whether have this user ID.If exist, then the first intermediate data center 3 can judge this user ID according to this user ID and belongs to second data center of subordinate 2, can obtain corresponding medical information from this data center of second subordinate 2.Then, this first intermediate data center 3 feeds back to first data center of subordinate 1 with the medical information that gets access to.If there is no, illustrate that then this user ID do not register in this first intermediate data center 3, then this first intermediate data center 3 medical information migration request that just will carry this user ID sends to higher level data center 4.Because this higher level data center 4 is the data center that national hospital safeguards, has wherein stored the data center that is included in each provincial hospital, i.e. all user ID of registering in the first intermediate data center 3 or the how intermediate data center.Therefore, by asking this higher level data center 4 can assist this first intermediate data center 3 to obtain the medical information corresponding with this user ID from other data centers.
When present embodiment does not inquire the medical information corresponding with user ID in first data center of subordinate, ask the first intermediate data center to assist to obtain corresponding medical information, and the first intermediate data center can transfer corresponding medical information according to user ID from second data center of subordinate, and the medical information that obtains fed back to first data center of subordinate, in first data center of subordinate, do not store under the situation of this user ID, this first intermediate data center can also ask more senior, the higher level data center that has stored the more users sign obtains corresponding medical information, thereby has realized the shared of medical information between other data centers in first data center of subordinate and the network; All user ID of in first data center of subordinate and second data center of subordinate, registering have been stored in this first intermediate data center, therefore can dispatch the medical information that is stored in the medical information in first data center of subordinate and be stored in second data center of subordinate, also can ask the higher level center that the medical information that is stored in other data centers is dispatched, thereby realize the exchange of medical information and the unified monitoring of medical information and the function of management.
Second embodiment of system
Fig. 6 is the structural representation of electron medical treatment information processing system second embodiment of the present invention.As shown in Figure 6, the system of present embodiment is on the basis of electron medical treatment information processing system first embodiment of the present invention.Further comprise: the second intermediate data center 5, the 3rd data center of subordinate 7, the second intermediate Backup Data center 8,6, the first intermediate Backup Data center and higher level's Backup Data center 9.Wherein, the second intermediate data center 5 is used to receive the medical information migration request that higher level data center 4 sends according to user ID, and the medical information corresponding with user ID sent to higher level data center 4, so that higher level data center 4 sends to the first intermediate data center 3 with medical information; The 3rd data center of subordinate 6 is used for providing medical information to the second intermediate data center 5; The first intermediate Backup Data center 7 is used to receive the first intermediate backup information, the first middle rank registration backup information and first state information that the first intermediate data center 3 sends, and upwards a level data center 4, first data center of subordinate 1 and second data center of subordinate 2 send first handover information when not receiving first state information in Preset Time; The second intermediate Backup Data center 8 is used to receive the second intermediate backup information, second middle rank registration backup information and the third state information that the second intermediate data center 5 sends, and upwards level data center 4 and the 3rd data center of subordinate 6 send the 3rd handover information when not receiving third state information in Preset Time; Higher level's Backup Data center 9 is used to receive higher level's backup information, the higher level that higher level data center 4 sends and registers the backup information and second state information, and sends second handover information to the first intermediate data center 3 and the second intermediate data center 5 when not receiving second state information in Preset Time.
Specifically, when the first intermediate data center 3 does not find corresponding user ID, this user ID promptly is described not in this registration inside the province, therefore, the first intermediate data center 3 sends the medical information migration request of carrying this user ID with regard to the level data center 4 that makes progress.Owing to stored the user ID that all user's registrations are obtained in this higher level data center 4, therefore higher level data center 4 can determine that this user ID registers according to this user ID under the second intermediate data center, 5 pairing provinces, and this higher level data center 4 is about to the medical information migration request and sends to the second intermediate data center 5.This second intermediate data center 5 can judge that according to this user ID this user ID belongs to the 3rd data center of subordinate 6, therefore the second intermediate data center 5 is about to this medical information migration request and sends to the 3rd data center of subordinate 6, the 3rd data center of subordinate 6 can provide corresponding medical information to the second intermediate data center 5, and the second intermediate data center 5 can send to higher level data center 4 with this medical information.Higher level data center 4 is about to this medical information and transfers to the first intermediate data center 3 then, and the last first intermediate data center 3 feeds back to this medical information first data center of subordinate 1 again, thereby has finished the migration of medical information and share.
In addition, 4, the first intermediate data center 3 of higher level data center and the second intermediate data center 5 all have corresponding Backup Data center, i.e. 7 the and second intermediate Backup Data center 8,9, the first intermediate Backup Data center, higher level's Backup Data center.
The first intermediate data center 3 regularly sends the first intermediate backup information, the first middle rank registration backup information and first state information to the first intermediate Backup Data center 7.This first intermediate backup information indicates this first intermediate Backup Data center 7 to carry out back-up processing when the migration that has medical information, back-up processing is carried out according to new user ID in this first middle rank registration backup information, first intermediate Backup Data center 7 of indicating when having the new registration user, this first state information first intermediate Backup Data center 7 of indicating knows whether the current first intermediate data center 3 operating states are normal, if the first intermediate Backup Data center 7 does not receive first state information in Preset Time, grade data center 4 that will make progress, this first intermediate Backup Data center 7, first data center of subordinate 1 and second data center of subordinate 2 send first handover information, and the indication first intermediate Backup Data center 7 of will adopting replaces the first intermediate data center 3 to be higher level data center 4, first data center of subordinate 1 and 2 services of second data center of subordinate.
The second intermediate data center 5 regularly sends the second intermediate backup information, second middle rank registration backup information and the third state information to the second intermediate Backup Data center 8.The function class of the function of this second intermediate backup information, the second middle rank registration backup information and third state information and the above-mentioned first intermediate backup information, the first middle rank registration backup information and first state information is not seemingly being given unnecessary details.When the second intermediate Backup Data center 8 does not receive third state information in Preset Time, upwards level data center 4 and the 3rd data center of subordinate 6 send the 3rd handover information, the effect that acts on above-mentioned first handover information of the 3rd handover information is similar, repeats no more.
Higher level data center 4 regularly registers the backup information and second state information to higher level's Backup Data center 9 transmission higher level backup informations, higher level, the function class of its effect and the above-mentioned first intermediate backup information, the first middle rank registration backup information and first state information is not seemingly being given unnecessary details.When higher level's Backup Data center 9 does not receive second state information in Preset Time, send second handover information to the first intermediate data center 3 and the second intermediate data center 5, this second handover information can send switching command to the first intermediate data center 3 and the second intermediate data center 5, and it is the first intermediate data center 3 and 5 services of the second intermediate data center that indication will adopt higher level's Backup Data center 9 to replace higher level data center 4.
In summary, in the present embodiment, higher level data center has higher level's Backup Data center, middle rank data center has intermediate Backup Data center, guarantee when higher level data center or intermediate data center break down, can switch to higher level's Backup Data center or intermediate Backup Data center respectively with this, and in time notify connected other data centers, on the basis of realizing data centers at different levels information sharing, further make whole electron medical treatment information network reach the effect of working stability.
It should be noted that at last: above embodiment is only in order to technical scheme of the present invention to be described but not limit it, although the present invention is had been described in detail with reference to preferred embodiment, those of ordinary skill in the art is to be understood that: it still can make amendment or be equal to replacement technical scheme of the present invention, and these modifications or be equal to replacement and also can not make amended technical scheme break away from the spirit and scope of technical solution of the present invention.

Claims (19)

1, a kind of electronic medical information processing method is characterized in that, comprising:
User ID is obtained in the identification from the medical information migration request that first data center of subordinate sends of the first intermediate data center, judges in the first intermediate overall identification tabulation that is stored in the described first intermediate data center whether have described user ID; If exist, then obtain corresponding medical information from second data center of subordinate corresponding with described user ID, and described medical information sent to described first data center of subordinate, otherwise the described first intermediate data center sends to higher level data center with described medical information migration request.
2, electronic medical information processing method according to claim 1 is characterized in that, the identification from the medical information migration request that first data center of subordinate sends of the described first intermediate data center is obtained before the user ID, also comprises:
The inquiry of described first data center of subordinate is first subordinate overall identification tabulation of storage wherein, judges in the overall identification tabulation of described first subordinate whether have the user ID that receives; If exist, then described first data center of subordinate extracts corresponding medical information, otherwise the medical information migration request that described user ID will be carried by described first data center of subordinate sends to the described first intermediate data center.
3, electronic medical information processing method according to claim 1 is characterized in that, obtain corresponding medical information from second data center of subordinate corresponding with described user ID before, also comprise:
Described second data center of subordinate extracts the medical information corresponding with described user ID, send described medical information to the described first intermediate data center, and tabulate according to second subordinate's overall identification that described user ID updates stored in described second data center of subordinate.
4, electronic medical information processing method according to claim 1 is characterized in that, also comprises:
The described first intermediate data center upgrades the described first intermediate overall identification tabulation according to described user ID, and send the first intermediate backup information to the first intermediate Backup Data center, so that the described first intermediate Backup Data center is stored in the described first intermediate Backup Data in the heart the first middle rank backup overall identification tabulation according to the first intermediate overall identification list update after upgrading.
5, electronic medical information processing method according to claim 1 is characterized in that, described medical information is sent to after described first data center of subordinate, also comprises:
Described first data center of subordinate receives described medical information, and tabulates according to first subordinate's overall identification that described user ID updates stored in described first data center of subordinate.
6, electronic medical information processing method according to claim 1 is characterized in that, the described first intermediate data center sends to described medical information migration request after the higher level data center, also comprises:
Described higher level data center discerns from described medical information migration request and obtains described user ID, determine the address information of the second intermediate data center corresponding, described medical information migration request is sent to the described second intermediate data center according to described address information with described user ID;
Obtain corresponding medical information from the described second intermediate data center, upgrade higher level's overall identification tabulation of wherein storage according to described user ID, and send higher level's backup information to higher level's Backup Data center, so that the overall identification tabulation is backed up according to the higher level that the higher level's overall identification list update after upgrading is stored in described higher level's Backup Data in the heart in described higher level's Backup Data center;
Described medical information is sent to the described first intermediate data center.
7, electronic medical information processing method according to claim 6 is characterized in that, described medical information is sent to after the described first intermediate data center, also comprises:
The described first intermediate data center sends to first data center of subordinate with described medical information;
The described first intermediate data center upgrades the first intermediate overall identification tabulation of wherein storage according to described user ID, and send the first intermediate backup information to the first intermediate Backup Data center, so that the described first intermediate Backup Data center is stored in the described first intermediate Backup Data in the heart the first middle rank backup overall identification tabulation according to the first intermediate overall identification list update after upgrading.
8, electronic medical information processing method according to claim 7 is characterized in that, the described first intermediate data center sends to described medical information after first data center of subordinate, also comprises:
Described first data center of subordinate receives described medical information, upgrades the overall identification tabulation of described first subordinate according to described user ID.
9, electronic medical information processing method according to claim 8 is characterized in that, obtains corresponding medical information from the described second intermediate data center and is specially:
The described second intermediate data center discerns from described medical information migration request and obtains described user ID, and described medical information migration request is sent to the three subordinate data center corresponding with described user ID;
Described the 3rd data center of subordinate discerns from described medical information migration request and obtains described user ID, extract the medical information corresponding with described user ID, send described medical information to the described second intermediate data center, and tabulate according to the 3rd subordinate's overall identification that described user ID updates stored in described the 3rd data center of subordinate;
The described second intermediate data center upgrades the second intermediate overall identification tabulation of wherein storage according to described user ID, and send the second intermediate backup information to the second intermediate Backup Data center, so that the described second intermediate Backup Data center is stored in the described second intermediate Backup Data in the heart the second middle rank backup overall identification tabulation according to the second intermediate overall identification list update after upgrading;
The described second intermediate data center sends to described higher level data center with described medical information.
10, electronic medical information processing method according to claim 1 is characterized in that, the identification from the medical information migration request that first data center of subordinate sends of the described first intermediate data center is obtained before the user ID, also comprises:
Described second data center of subordinate carries out location registration process to user ID, and in the first intermediate data center and higher level data center described user ID is carried out location registration process.
11, electronic medical information processing method according to claim 10 is characterized in that, in the described first intermediate data center and higher level data center described user ID is carried out location registration process and is specially:
Described second data center of subordinate sends the register requirement of carrying described user ID to the described first intermediate data center;
The described first intermediate data center discerns from described register requirement and obtains described user ID, and described user ID is sent to described higher level data center, and adds described user ID in the described first intermediate overall identification tabulation;
Add described user ID in higher level's overall identification tabulation that described higher level data center stores therein.
12, electronic medical information processing method according to claim 10 is characterized in that, also comprises:
The described first intermediate data center sends the first middle rank registration backup information to the described first intermediate Backup Data center, so that the first middle rank backup overall identification tabulation of wherein storage is upgraded at the described first intermediate Backup Data center according to the described first middle rank registration backup information;
Described higher level data center sends the higher level to higher level's Backup Data center and registers backup information, backs up the overall identification tabulation so that the higher level that backup information upgrades wherein storage is registered according to described higher level in described higher level's Backup Data center.
13, electronic medical information processing method according to claim 12 is characterized in that, also comprises:
The described first intermediate Backup Data center judges whether receive first state information that the described first intermediate data center sends in Preset Time, if, then continue to wait for and receive next bar first state information, otherwise, send first handover information to described higher level data center, first data center of subordinate and second data center of subordinate.
14, electronic medical information processing method according to claim 13 is characterized in that, after described higher level data center, first data center of subordinate and second data center of subordinate send first handover information, also comprises:
When the described first intermediate Backup Data center judges that when receiving described first state information again in Preset Time, the described higher level of mind-set data center, first data center of subordinate and second data center of subordinate send first recovering information in the described first intermediate Backup Data.
15, electronic medical information processing method according to claim 12 is characterized in that, also comprises:
Described higher level's Backup Data center judges whether to receive second state information that described higher level data center sends in Preset Time, if, then continue to wait for to receive next bar second state information, otherwise, second handover information sent to the described first intermediate data center.
16, electronic medical information processing method according to claim 15 is characterized in that, after the described first intermediate data center sends second handover information, also comprises:
When described higher level's Backup Data center judges that when receiving described second state information again in Preset Time, the mind-set described first intermediate data center sends second recovering information in described higher level's Backup Data.
17, a kind of electron medical treatment information processing system is characterized in that, comprising:
First data center of subordinate is used to send the medical information migration request of carrying user ID, receives the medical information corresponding with described user ID;
The first intermediate data center, be used for judging according to described medical information migration request whether the first intermediate overall identification tabulation of described first intermediate data center storage exists described user ID, when existing, obtain corresponding medical information, and described medical information is sent to described first data center of subordinate according to described user ID;
Second data center of subordinate is used for providing described medical information to the described first intermediate data center;
Higher level data center is used for receiving the described medical information migration request that the described first intermediate data center sends when there is not described user ID in the described first intermediate overall identification tabulation.
18, electron medical treatment information processing system according to claim 17 is characterized in that, also comprises:
The second intermediate data center, be used to receive the described medical information migration request that described higher level data center sends according to described user ID, and will the medical information corresponding send to described higher level data center with described user ID, so that described higher level data center sends to the described first intermediate data center with described medical information;
The 3rd data center of subordinate is used for providing described medical information to the described second intermediate data center.
19, electron medical treatment information processing system according to claim 18 is characterized in that, also comprises:
The first intermediate Backup Data center, be used to receive the first intermediate backup information, the first middle rank registration backup information and first state information that the described first intermediate data center sends, and send first handover information to described higher level data center, first data center of subordinate and second data center of subordinate when in Preset Time, not receiving described first state information;
The second intermediate Backup Data center, be used to receive the second intermediate backup information, second middle rank registration backup information and the third state information that the described second intermediate data center sends, and send the 3rd handover information to described higher level data center and the 3rd data center of subordinate when in Preset Time, not receiving described third state information;
Higher level's Backup Data center, be used to receive higher level's backup information, the higher level that described higher level data center sends and register the backup information and second state information, and send second handover information to the described first intermediate data center and the second intermediate data center when in Preset Time, not receiving described second state information.
CNA200910077891XA 2009-02-02 2009-02-02 Electronic medical information processing method and system Pending CN101488963A (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101815297A (en) * 2010-04-28 2010-08-25 中兴通讯股份有限公司 Implement method and system for acquiring authentication parameters
CN102377810A (en) * 2010-08-25 2012-03-14 北京鑫丰南格科技有限责任公司 Clinical information interaction method and equipment using same
CN105808938A (en) * 2016-03-04 2016-07-27 新博卓畅技术(北京)有限公司 Information exchange platform and information exchange method thereof
CN106126958A (en) * 2016-07-06 2016-11-16 温冬梅 Health Service Laboratory biochemistry test automatic auditing method and system
CN108595291A (en) * 2018-04-01 2018-09-28 陈丽霞 A kind of medical data standby system

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101815297A (en) * 2010-04-28 2010-08-25 中兴通讯股份有限公司 Implement method and system for acquiring authentication parameters
CN102377810A (en) * 2010-08-25 2012-03-14 北京鑫丰南格科技有限责任公司 Clinical information interaction method and equipment using same
CN105808938A (en) * 2016-03-04 2016-07-27 新博卓畅技术(北京)有限公司 Information exchange platform and information exchange method thereof
CN106126958A (en) * 2016-07-06 2016-11-16 温冬梅 Health Service Laboratory biochemistry test automatic auditing method and system
CN106126958B (en) * 2016-07-06 2018-10-19 温冬梅 The automatic auditing system of Health Service Laboratory biochemistry test
CN108595291A (en) * 2018-04-01 2018-09-28 陈丽霞 A kind of medical data standby system
CN108595291B (en) * 2018-04-01 2021-08-31 山东协和学院 Medical data backup system

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