CN102043982A - Citizen individual oriented electronic health record system - Google Patents
Citizen individual oriented electronic health record system Download PDFInfo
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Abstract
The invention discloses a citizen individual oriented electronic health record system relating to a medical information network system. The citizen individual oriented electronic health record system is characterized by comprising a main record system and a secondary record system, wherein the main record system is arranged at a server side, and the secondary record system is arranged at a client side. The main record system and the secondary record system are connected by a wire network or a wireless network and carry out the data mutual transmission. The main record system is further connected with an external information system by the wire network or the wireless network and also carries out the data mutual transmission, and the external information system comprises a plurality of external data sources and data service. The main record system comprises a data storage service unit, a data acquisition and exchange service unit, a data process and analysis service unit, a data report and management service unit, a system management service unit and a security service unit. The health record system of the invention can meet the requirement of citizens on taking part in the individual health management, and support the citizens to self record and report the individual health data.
Description
Technical field
The present invention relates to the medical information network system, relate in particular to electronic health care archives economy towards resident individual.
Background technology
" State Council of the Central Committee of the Communist Party of China is about the suggestion of in-depth medical and health system reform " proposes to set up the practical medical and health infosystem of sharing, and the emphasis of specifically determining current medical and health informatization is " accomplish fluently three bases; build up three grades of platforms, promote business application system ".Wherein one of content of " accomplishing fluently three bases " is exactly to set up national unified, standardized residents ' health archives.Relevant department of the Ministry of Public Health announces in succession recently and comprises " health account basic framework and data standard ", " electronic health record basic framework and data standard " haves laid a good foundation for further optimizing, promote all kinds of health business application systems at interior a series of regulatory documents.
At present, national most tertiary hospitals have been set up hospital information management system, and are progressively extending to clinical practice.But, domestic existing health information system all exists three critical defects: one, their main service object (user) is that medical and health organization (comprises that medical and health services provide mechanism, public health professional institution, administrative department of public health), the resident lacks effective means and approach and obtains health records about self; Its two, they are had by medical institutions and are grasped, medical institutions decide the resident can contact which kinds of information according to self needs, the resident is in passive position fully; Its three, they write down only be the resident with the contact process (mainly showing as prescription on individual diagnosis) of medical and health organization in the information that produced, and occur in outside these contacts, the daily life health data that covers resident's whole life got rid of outside.And fact of case is, healthy the looking after and protect of people is not inchoate from see a doctor that time to hospital.Space-time outside hospital, people are producing a large amount of, that have multiple value thereby the worth health and fitness information that is write down in the daily life daily life process of oneself.
People need obtain the various clinical datas that produced in the diagnosis and treatment process of oneself!
People need to obtain the health account of oneself everywhere, in case of need!
People need easily mode the health and fitness information that produces in the own daily life are noted, and organize in an orderly manner and deposit, and offer the reference of medical worker as diagnosis and treatment!
People need a next to the shin and capable health coach, can remind and instruct the health care of body of oneself at any time, rather than have only and just go when being possessed by the demon of disease by the time to seek examining to ask medicine!
Summary of the invention
The objective of the invention is to overcome that existing medical information management system exists because can not be with main service object---a resident people is the defective that the information service object has all drawbacks, a kind of resident's of satisfying participative management personal health needs is provided, supports the electronic health care archives economy towards resident individual that resident's individual health data oneself writes down and reports.
Technical scheme of the present invention is such:
Electronic health care archives economy towards resident individual, it is characterized in that, comprise main file case system that is positioned at server end and the sub-archives economy that is positioned at client, two archives economies pass mutually by the be connected line data of going forward side by side of wired or wireless network, described main file case system also passes by the be connected line data of going forward side by side of wired or wireless network mutually with the external information system, and the external information system comprises a plurality of external data sources and data, services;
Described main file case system comprises the data storage service unit, and data are obtained and the Exchange Service unit, data processing and Analysis Service unit, and data report and management service unit, system administration services unit and safety management service unit, wherein,
Described data storage service unit comprises the health records database that is used to deposit the residents ' health detail record, deposits previously the go to a doctor residents ' health archives master index database of medical institutions' index information of resident,
Described data are obtained with the Exchange Service unit and are used for carrying out patient status location with the external information system, authentication, and data check, data is obtained, the data conversion, the integrated and resident of data reports the externally renewal of infosystem of data,
Described data report and management service unit are used to receive reported data and the information request from sub-archives economy, reported data is stored in the health records database behind data pick-up, information request passes to data and obtains and the Exchange Service unit, and the reception data are obtained the result for retrieval that is obtained based on these requests with the Exchange Service unit, generate the file that is used in the client demonstration then
Described system administration services unit is set and the update system configuration, come handled business and system event in the register system by the monitoring daily record, according to the data backup policy of setting, the data of schedule backup specified scope, carry out operations such as user's increase, modification and deletion by user management
Described safety management service unit is used for antithetical phrase archives economy user and carries out authentication, and Authority Verification carries out data encryption and digital signature processing to the message that will send;
Described sub-archives economy comprises efficient storage of lightweight and enquiring component, and efficient the storage with enquiring component of described lightweight comprises daily life observed and recorded module, storage element, query unit; Described daily life observed and recorded module is provided with daily life observed and recorded submodule, be used to show that the form of daily life record supplies the user to fill in, the data storing that daily life observed and recorded masterplate is filled in the user is in storage element, and data are sent to main file case system according to the reported data record that the user selects, described query unit is used for the information request of recording user, information request is sent to main file case system, and receives result for retrieval that these requests of passing back from main file case system are obtained step of going forward side by side and show and store the data in the storage element.
Described data storage service unit also comprises the health knowledge database, is used to deposit regimina sanitatis and health guidance record.
The safety management service unit also carries out privacy management to the user, and the file that is used for showing in client that described data report and management service unit generate is the soap message file.
Described main file case system also comprises data processing and Analysis Service unit, and described data processing and Analysis Service unit comprise data analysis engine and healthalert suggestion engine; Described data analysis engine is at the reported data of sub-archives economy, with reference to residents ' health database of record and health knowledge database, adopt statistical analysis technique, decide the pairing resident living incident of current reported data whether to exceed the predefined early warning value of user, surpass early warning value and then start the healthalert suggestion engine; Described healthalert suggestion engine is driven by data analysis engine gained result and enters duty, and further with reference to the clinical information in the residents ' health database of record and user feedback record to the past healthalert, generate one group of healthalert and/or suggestion for user's selection, these results and/or suggestion are stored in the health records database on the one hand, are sent to user client by data report and management service unit on the other hand.
Described data processing and Analysis Service unit also comprise classification multiple information sources data query and integrated analysis engine, described classification multiple information sources data query and integrated analysis engine position and analyze the different aforementioned sources in the outside infosystem, determine different aforementioned sources from main to inferior, high interoperability level be clipped to low interoperability rank, from big to small, from as far as near different stage standard, at the request of user's current data, adopt branch rank mode to the inquiry that conducts interviews of outside infosystem.Carry out branch rank access queries during access queries, one takes turns the visit result compares with the expectation value of user's current data request, according to the result or carry out a new round (recurrence) graded operation, or finishes current operation.
Described data processing and Analysis Service unit also comprise residents ' health information anonymization processing engine, be used for will belong to the sensitive information of resident individual and family status sign and Private Parts give intelligent simulation and replace, hide, delete.
Described sub-archives economy also comprises the encryption service unit, is used to be provided with set up authenticating user identification and the data and the information that will send are carried out data encryption and digital signature processing.
Described client is a mobile phone.
Described data report and management service unit comprise master index Data Management Unit, health records Data Management Unit and health knowledge Data Management Unit; Described master index Data Management Unit is used for system-oriented user web interface, management data history, carry out data monitoring and maintenance, data retrieval and record merging, link and decomposition; Described health records Data Management Unit is used for towards the resident, carry out main system to subsystem and subsystem to the exchanges data between the main system, comprise packing data encapsulation, soap message generation, soap message transmission, soap message reception, data pick-up and deposit data; Described health knowledge Data Management Unit is used for system-oriented user web interface, carries out Data Update, data monitoring and maintenance and data retrieval.
The sub-archives economy that is used for above-mentioned electronic health care archives economy is characterized in that comprising efficient storage of lightweight and enquiring component, and efficient the storage with enquiring component of described lightweight comprises daily life observed and recorded module, storage element, query unit; Described daily life observed and recorded module is provided with daily life observed and recorded submodule, be used to show that the form of daily life record supplies the user to fill in, the data storing that daily life observed and recorded module is filled in the user is in storage element, and data are sent to main file case system according to the reported data record that the user selects, described query unit is used for the information request of recording user, information request is sent to main file case system, and receives result for retrieval that these requests of passing back from main file case system are obtained step of going forward side by side and show and store the data in the storage element.
Described sub-archives economy is arranged in the mobile phone.
Described sub-archives economy also comprises the encryption service unit, is used to be provided with set up authenticating user identification and the data and the information that will send are carried out data encryption and digital signature processing.
Above-mentioned electronic health care archives economy is realized the method that daily life observed and recorded data report, and comprises the steps: 1), the user starts client application, explicit user log-in interface, 2), the user inputs password, enters the master menu page; 3), select daily life observed and recorded module; 4), select the daily life record sub module, show this submodule data entry form lattice; 5), fill up a form; 6), client's self-verifying input data normative and reasonable whether; 7), storage data record, the reply data utilize the encryption service unit to carry out encryption during storage, 8), select the reported data record, this step also utilizes the encryption service unit to carry out encryption simultaneously, and structure soap message, the Communications service of startup and server contact, above-mentioned function except that encrypting is finished by efficient storage of lightweight and enquiring component; 9), subsystem client is sent the request that reports health data to the main system server end; 10), server end is by the request of data of data report and management service unit receiving subsystem; 11), the safety management service unit Authentication Client hardware device of server end, server authentication client personal identification; 12), server end data report and management service unit deposit reported data in the residents ' health database of record.
Above-mentioned electronic health care archives economy realize that daily life observed and recorded data report and with the method for external information system update, it is characterized in that comprising the steps: 1), the user starts client application, the explicit user log-in interface, 2), the user inputs password, enters the master menu page; 3), select daily life observed and recorded module; 4), select the daily life record sub module, show this submodule data entry form lattice; 5), fill up a form; 6), client's self-verifying input data normative and reasonable whether; 7), storage data record, the reply data utilize the encryption service unit to carry out encryption during storage, 8), select the reported data record, this step also utilizes the encryption service unit to carry out encryption simultaneously, and structure soap message, the Communications service of startup and server contact, above-mentioned function except that encrypting is finished by efficient storage of lightweight and enquiring component; 9), subsystem client is sent the request that reports health data to the main system server end; 10), server end is by the request of data of data report and management service unit receiving subsystem; 11), the safety management service unit Authentication Client hardware device of server end, server authentication client personal identification; 12), server end data report and management service unit deposit reported data in the residents ' health database of record; 13), server end data report and management service unit retrieval residents ' health master index database, know from result for retrieval which external data source in the external information system contains which kind of data of this user, and promptly this user's data update service has been subscribed to by which external information system; 14), obtain communication contact with Exchange Service unit starting and external data source, promptly construct soap message, start the resident and report the data updating notification service by data; 15), obtain with the Exchange Service unit by data and send Data Update notice to outside infosystem.
Above-mentioned electronic health care archives economy is realized the method for resident's personal information request, it is characterized in that comprising the steps: (1), sub-archives economy client is sent the request of obtaining health data to main file case system server terminal, (2), receive the request of data of sub-archives economy by the health records Data Management Unit of data report and management service unit, (3), data report and management service unit retrieval residents ' health archives master index database, obtain result for retrieval: there are which kind of data of this user in which external information system, (4), give classification multiple information sources data query and integrated analysis engine with data transfer, formulate the data retrieval scheme by this engine, (5), obtain and Exchange Service unit structure soap message by data, start patient data retrieval service and data and obtain service, (6), start Communications service with the external information interconnection, send retrieval request to the external data source of choosing, (7), data are obtained with the Exchange Service unit and are received result for retrieval, and will send classification multiple information sources data query and integrated analysis engine to from the result for retrieval that external information system related data sources obtains, (8), classification multiple information sources data query and the current result for retrieval of integrated analysis engine assessment, satisfied, then proceed to (9) step, dissatisfied, modification, got back to for (4) step, (9), data report and management service unit arrangement result, and depositing the result in the residents ' health database of record, (10) data report and management service unit transmit the result to subsystem client.
Technique effect: the present invention is owing to be provided with main file case system and the sub-archives economy that is positioned at server end, two systems can carry out data and pass mutually, lightweight is efficient to be stored and enquiring component and be provided with in sub-archives economy, be used to write down resident individual's daily health data and upload to main file case system, also be used for carrying out information request to main file case system, main file case system also links to each other with the external information system simultaneously, like this, health account of the present invention system is for can satisfy resident's participative management personal health needs, support resident's individual health data oneself record and the electronic health care archives economy that reports towards resident individual.
Description of drawings:
Fig. 1 is a structural representation block diagram of the present invention;
Fig. 2 provides the schematic flow sheet of information for the present invention utilizes classification multiple information sources data query and integrated analysis engine at the external information system of resident's personal information request integration separate sources;
Fig. 3 is " daily life observation " interrecord structure synoptic diagram in the sub-archives economy of the present invention;
Fig. 4 is " daily life observation " record data report flow synoptic diagram in the sub-archives economy of the present invention;
Fig. 5 is a data analysis engine principle of work synoptic diagram of the present invention;
Fig. 6 is a healthalert suggestion engine principle of work synoptic diagram of the present invention;
Fig. 7 is the included data cell of residents ' health information anonymization processing engine of the present invention;
Fig. 8 is the structural representation block diagram of the sub-archives economy of the present invention.
Embodiment:
Fig. 1 has shown the electronic health care archives economy preferred construction block diagram of the present invention towards resident individual, this system comprises the main file case system that is positioned at server end and is positioned at the sub-archives economy of client, two archives economies pass mutually by the be connected line data of going forward side by side of wired or wireless network, and described main file case system also passes by the be connected line data of going forward side by side of wired or wireless network mutually with the external information system.The preferred mobile phone of client also can make desktop computer or other have messaging device wireless or that cable network connects.
For an embodiment, the described main file case system that is positioned at client comprises the data storage service unit, data are obtained and the Exchange Service unit, data processing and Analysis Service unit, data report and management service unit, system administration services unit and safety management service unit for preferred embodiment among Fig. 1, also comprise data processing and Analysis Service unit.Below these unit of main file case system are described in detail.
Described data storage service unit comprises the health records database that is used to deposit the residents ' health detail record, deposit previously the go to a doctor residents ' health archives master index database of medical institutions' index information of resident, for preferred embodiment with data processing and Analysis Service unit, also comprise the health knowledge database, be used to deposit regimina sanitatis and health guidance record;
Described data are obtained with the Exchange Service unit and are used for carrying out patient status location, authentication, data check (retrieval) with the external information system, data is obtained, the data conversion, and data is integrated, the resident reports the externally renewal of infosystem of data, and the resident reports the data subscription management.
Described data report and management service unit are used to receive reported data and the information request from sub-archives economy, reported data is stored in the health records database behind data pick-up, information request passes to data and obtains and the Exchange Service unit, and receive data and obtain the result for retrieval that is obtained based on these requests with the Exchange Service unit, generate then and be used for the soap message file that shows in client.At different user objects, this unit can be provided with different functional units, comprise the master index Data Management Unit, be used for system-oriented user's web interface, management data history, carry out data monitoring and maintenance, data retrieval and record merging, link and decomposition; The health records Data Management Unit, be used for towards the resident, carry out main system to subsystem and subsystem to the exchanges data between the main system, comprise packing data encapsulation, soap message generation, soap message transmission, soap message reception, data pick-up and deposit data; And the health knowledge Data Management Unit, be used for system-oriented user web interface, carry out Data Update, data monitoring and maintenance and data retrieval.
Described system administration services unit is set and the update system configuration, come handled business and system event in the register system by the monitoring daily record, according to the data backup policy of setting, the data of schedule backup specified scope, and the backed up data record preserved in client or other unit provide the data when in case the loss of data accident takes place to recover service in the data storage service unit, carry out operations such as user's increase, modification and deletion by user management.
Described safety management service unit is used for antithetical phrase archives economy user and carries out authentication, and Authority Verification carries out data encryption and digital signature processing to the message that will send, and carries out privacy management.
Server end can store the drive software and the service software of sub-archives economy, is used for downloading to client as the system user and the resident personal user of client.
Data processing among Fig. 1 and Analysis Service unit comprise data analysis engine and healthalert suggestion engine, preferably, can also comprise classification multiple information sources data query and integrated analysis engine, more preferably, also comprise residents ' health information anonymization processing engine.
The principle of work of data analysis engine is seen Fig. 5, reported data at sub-archives economy, take in as nutrition, the vital sign reading, daily medication, body-building, family expenses Medical Instruments measurement data, the reported data of life such as health self-description observed data, with reference to residents ' health database of record and health knowledge database, adopt statistical analysis technique, generate the pairing incident of reporting of user data (what has taken place) and this incident logic essence (why this part thing can take place) behind, refer again to the health objectives and the preference of user oneself definition, determine whether this incident exceeds user's target level, promptly decide the pairing resident living incident of current reported data whether to exceed the predefined early warning value of user, surpass early warning value and then start the healthalert suggestion engine, causal reasoning is meant through statistical study, judge whether to exceed the process of the predefined early warning value of user, only when the importance values of incident exceeds user's desired value (early warning value), just start the healthalert suggestion engine.
The principle of work of healthalert suggestion engine is seen Fig. 6, driven by data analysis engine gained result and enter duty, and further with reference to the clinical information in the residents ' health database of record and user feedback record and health knowledge database to the past healthalert, generate one group of healthalert and/or suggestion for user's selection, these results and/or suggestion are stored in the health records database on the one hand, be sent to user client by data report and management service unit on the other hand, at Fig. 6, remind suggestion itself to belong to a result that information process produced, this information process (showing as the healthalert suggestion engine here) is for wanting these results of output, need obtain the needed reference data of its operation from the health records database, this one deck referring-to relation has showed by arrow.As for reminding suggestion itself, then be to be deposited in the health knowledge database by uniaxially as the new information record that produces.Certainly, be subjected to new event-driven and begin next round when operation at the healthalert suggestion engine, this prompting advisory information record is as the part of historical data previously, can be accessed reference as new round operation from the health knowledge database by the information process of a new round.From macroscopic view and in a broad sense, we can say that the relation of reminding between suggestion and the health knowledge database has the amphicheirality.But with regard to the healthalert engine task of any once concrete (thereby just microcosmic and narrow sense), the arrow between it and the health knowledge database is unidirectional, as shown in Figure 6.
Driving the healthalert suggestion engine may directly be after incident arrives to a certain degree, directly trigger, also may be that incident itself is not serious arrives to a certain degree, but carry out causal reasoning through the data analysis engine, other of comprehensive resident individual are information and reach early warning value in the past, to trigger the healthalert suggestion engine.Because the healthalert suggestion engine is again further with reference to the clinical guidelines in the residents ' health database of record, ownership goal, data such as user preference, and be subjected to the diagnostic result in user's past especially, diagnosis and treatment are disposed, medication, the driving of historical records such as allergy makes the suggestion that will propose have rationality and specific aim.
The present invention preferably is provided with classification multiple information sources data query and the integrated analysis engine positions and analyzes the different aforementioned sources in the outside infosystem, determine different aforementioned sources from main to inferior, high interoperability level be clipped to low interoperability rank, from big to small, from as far as near different stage standard, carry out branch rank access queries during access queries, one takes turns the visit result compares with the expectation value that user's current data is asked clearly, according to the result or carry out a new round (recurrence) graded operation, or finish current operation.Classification multiple information sources data query and integrated analysis engine server end after client is sent the request of obtaining health data produces in the workflow residing position and sees Fig. 2, idiographic flow is: 1, sub-archives economy client is sent the request of obtaining health data to main file case system server terminal, 2, receive the request of data of sub-archives economy by the health records Data Management Unit of data report and management service unit, 3, data report and management service unit retrieval residents ' health archives master index database, obtain result for retrieval: there are which kind of data of this user in which external information system, 4, give classification multiple information sources data query and integrated analysis engine with data transfer then, formulate the data retrieval scheme by this engine, 5, obtain and Exchange Service unit structure soap message by data then, start patient data retrieval service and data and obtain service, 6, start Communications service with the external information interconnection, send retrieval request to the external data source of choosing, 7, data are obtained with the Exchange Service unit and are received result for retrieval, and will send classification multiple information sources data query and integrated analysis engine to from the result for retrieval that external information system related data sources obtains, 8, classification multiple information sources data query and the current result for retrieval of integrated analysis engine assessment, satisfied, then proceeded to for 9 steps, dissatisfied, modification, got back to for the 4th step, 9, data report and management service unit arrangement result, and deposit the result in residents ' health database of record, 10, data report and management service unit transmit the result to subsystem client.Therefore, the preferred embodiment of the invention provides with the on-fixed binding of other health care infosystems of backstage and has connected, can articulate a plurality of background systems simultaneously, different source data is able to integrating here, makes main file case system have the effect at regional health data center.In this process, by means of the assistance of " classification multiple information sources data query and integrated analysis engine ", server end can be adjusted search strategy flexibly, at first the background information source of the healthy data correlativity of visit and resident maximum.Progressively enlarge range of search then, realize the optimum of integral retrieval performance.
Health and fitness information itself is containing huge value, therefrom can excavate the knowledge and the wealth of many preciousnesses.For satisfying the secondary user group (as medical research unit, teaching unit, Medical Devices apparatus developer, medicine manufacturer, the socio-economic Surveys statistical organization, civil administration) to many-sided demand of health and fitness information, the present invention preferably is provided with residents ' health information anonymization processing engine, the sensitive information that belongs to resident individual and family status sign and Private Parts is given intelligent simulation to be replaced, hide, deletes, so that, do not provide information resources to the secondary user under the prerequisite of invasion of privacy again at the semantic integrity of unhealthful file data record neither.Figure 7 shows that the kind of the sensitive data that the present invention covers.These kinds specifically are mapped as the corresponding data unit in " health account public data unit " standard, comprise that these information responsive and that belong to individual privacy of name, address, bio-identification sign indicating number, date, number are all handled by residents ' health information anonymization processing engine.This engine can adopt general data replacement and replacement technique to handle.As: each is decided to be the data element of anonymization processing target and all is furnished with special-purpose data conversion treatment function; all these data elements are concentrated to be organized in the special document form; the document can be adjusted as required flexibly; as medical personnel's identifier is also expanded, form secret protection to the medical services provider.
The basic composition of sub-archives economy is referring to Fig. 1 and Fig. 8, and described sub-archives economy comprises efficient storage of lightweight and enquiring component, and the encryption service unit preferably is set.The efficient storage with enquiring component of lightweight can be downloaded from server end, and efficient the storage with enquiring component of described lightweight comprises daily life observed and recorded module, storage element, query unit; Described daily life observed and recorded module is provided with daily life observed and recorded submodule, be used to show that the form of daily life record supplies the user to fill in, see Fig. 3 and Fig. 4, the data storing that daily life observed and recorded module is filled in the user is in storage element, and data are sent to main file case system according to the reported data record that the user selects, described query unit is used for the information request of recording user, information request is sent to main file case system, and receives result for retrieval that these requests of passing back from main file case system are obtained step of going forward side by side and show and store the data in the storage element.Among Fig. 3; daily life observed and recorded submodule can be divided into: projects such as daily routines, body-building, subjective sensation description, environment, vital sign, medical treatment; each project has a plurality of sub-projects, and the user need carry out current entry and reports the sub-project of necessity.The idiographic flow that reports of record is seen Fig. 4, in client, and 1, the user starts client application, explicit user log-in interface, 2, the user inputs password, enters the master menu page; 3, select daily life observed and recorded module; 4, select the daily life record sub module, show this submodule data entry form lattice; 5, fill up a form; 6, client's self-verifying input data normative and reasonable whether; 7, storage data record, the reply data utilize the encryption service unit to carry out encryption during storage, 8, select the reported data record, this step also utilizes the encryption service unit to carry out encryption simultaneously, and structure soap message, the Communications service of startup and server contact, above-mentioned function except that encrypting is finished by efficient storage of lightweight and enquiring component; 9, subsystem client is sent the request that reports health data to the main system server end; 10, server end is by the request of data of data report and management service unit receiving subsystem; The safety management service unit Authentication Client hardware device of 11 server ends, server authentication client personal identification; 12, server end data report and management service unit deposit reported data in the residents ' health database of record; 13, server end data report and management service unit retrieval residents ' health master index database, know from result for retrieval which external data source in the external information system contains which kind of data of this user, and promptly this user's data update service has been subscribed to by which external information system; 14, obtain communication contact with Exchange Service unit starting and external data source by data, promptly construct soap message, start the resident and report the data updating notification service; 15, obtain with the Exchange Service unit by data and send Data Update notice to outside infosystem.
The efficient storage of lightweight also has early warning value with enquiring component function is set, and after user's login enters the system client page, can select to manage individual document setup, comprises the early warning value of setting to various health indicators and vital sign reading.These are set the result and are sent to main system from the form of sub-archives economy by soap message.In main system, by the health data management unit user's self establishment result is deposited in the health records database this user under one's name again.
The healthy electronic archive system of the present invention provides with the on-fixed binding of other external information systems of backstage and connects, can articulate a plurality of backstage external information system simultaneously, comprise external information systems such as hospital, outpatient service, mother and child care, community sanitary, Center for Disease Control, first-aid centre, medicine prison, medical insurance, family planning.In this process, by means of the assistance of " classification multiple information sources data query and integrated service ", server end can be adjusted search strategy flexibly, at first the background information source of the healthy data correlativity of visit and resident maximum.Progressively enlarge range of search then, realize the optimum of integral retrieval performance.
With other health care infosystems in the external environment condition connect and exchanges data comprises by based on Internet service in the service-oriented architecture (SOA) (Web Service) or direct application programming interface API) set up safe connecting with one or more external information system.It acts on behalf of resident's information requirement, is satisfying fully under the prerequisite of background information system identity authentication, submits information requirement (retrieval or input) to background system, compiles the feedback result of each background system and in addition standardization.Based on above-mentioned external information system can the booking reader the service of Data Update, the sufferer medical records synchronous processing between described each medical institutions' infosystem comprises that the resident can be reflected timely to any renewal of its health account in the infosystem of all medical institutions that it is previously gone to a doctor.Same function also can be expanded the case data synchronization job that is applied between the different medical infosystem, and the main file case system of the healthy electronic archive system of the present invention bears the effect of medical data switching centre under this sight.
Therefore, the present invention is owing to be provided with and can put down in writing, transmit resident's individual health data oneself record and the sub-archives economy that reports, and the main file case system and the external information system that are connected and carry out exchanges data with this sub-archives economy, make the healthy electronic archive system of the present invention the different of essence be arranged with prior art, promptly, make health account of the present invention system can in time obtain the real-time health data of resident individual, because activity and event---the sleep state that the user can be engaged in the life every day at any time, diet, take exercise, mood, medication, vital sign, surrounding environment---carry out selectable record, greatly expanded the coverage of healthy electronic archive system, the self-writing function of " daily life observation " health data that provides for the user the life process time and space of living in, make patient and user can participate in personal health management and diagnosis and treatment decision-making first, demonstrate fully the huge leap forward that changes to brand-new health control from traditional medical services; And the movability by the sub-archives economy of electronic health care archives economy and portable (mobile phone and computer), the user can also read user's medical treatment ﹠ health data at any time, realizes that the important individual life-information of multidisciplinary of medical institutions, community, insurance, first aid, high risk industries, specific crowd, association for the handicapped, government regulation etc. is shared; The user can also in time upload to current entry the health information system of medical institutions or other unit in addition, remedy the deficiency of routine clinical medical information system and community sanitary infosystem, assist prescription on individual diagnosis mechanism to improve diagnosis and treatment quality and efficient, reduce duplicate test and stand-by period, also can integrate the hygiene and health information of separate sources, construct unifiedly, complete, continuous, be not subjected to resident's personal health archives of region and mechanics limit; Further, the present invention can also provide intelligent healthalert and suggestion: according to the data and the demand of reporting of user, in time provide proper healthalert and suggestion to the user, make the user obtain personalized health care and instruct, reduce the incidence of disease; Preferred version of the present invention can also to sensitive data unit in addition anonymization handle, under the prerequisite of protection residents ' health archives privacy, share the health and fitness information resource with the secondary user.The present invention also can go to a doctor subscribe with medicine and achieve a butt joint, and makes things convenient for the prescription on individual diagnosis plan and the arrangement of patient and school, achieves a butt joint with the insurance company infosystem, makes things convenient for user inquiring insurance situation, makes things convenient for the tracking insurer of insurance company health status.
Claims (17)
1. towards resident individual's electronic health care archives economy, it is characterized in that, comprise main file case system that is positioned at server end and the sub-archives economy that is positioned at client, two archives economies pass mutually by the be connected line data of going forward side by side of wired or wireless network, described main file case system also passes by the be connected line data of going forward side by side of wired or wireless network mutually with the external information system, and the external information system comprises a plurality of external data sources and data, services;
Described main file case system comprises the data storage service unit, and data are obtained and the Exchange Service unit, data processing and Analysis Service unit, and data report and management service unit, system administration services unit and safety management service unit, wherein,
Described data storage service unit comprises the health records database that is used to deposit the residents ' health detail record, deposits previously the go to a doctor residents ' health archives master index database of medical institutions' index information of resident,
Described data are obtained with the Exchange Service unit and are used for carrying out patient status location with the external information system, authentication, and data check, data is obtained, the data conversion, the integrated and resident of data reports the externally renewal of infosystem of data,
Described data report and management service unit are used to receive reported data and the information request from sub-archives economy, reported data is stored in the health records database behind data pick-up, information request passes to data and obtains and the Exchange Service unit, and the reception data are obtained the result for retrieval that is obtained based on these requests with the Exchange Service unit, generate the file that is used in the client demonstration then
Described system administration services unit is set and the update system configuration, come handled business and system event in the register system by the monitoring daily record, according to the data backup policy of setting, the data of schedule backup specified scope, carry out operations such as user's increase, modification and deletion by user management
Described safety management service unit is used for antithetical phrase archives economy user and carries out authentication, and Authority Verification carries out data encryption and digital signature processing to the message that will send;
Described sub-archives economy comprises efficient storage of lightweight and enquiring component, and efficient the storage with enquiring component of described lightweight comprises daily life observed and recorded module, storage element, query unit; Described daily life observed and recorded module is provided with daily life observed and recorded submodule, be used to show that the form of daily life record supplies the user to fill in, the data storing that daily life observed and recorded masterplate is filled in the user is in storage element, and data are sent to main file case system according to the reported data record that the user selects, described query unit is used for the information request of recording user, information request is sent to main file case system, and receives result for retrieval that these requests of passing back from main file case system are obtained step of going forward side by side and show and store the data in the storage element.
2. the described electronic health care archives economy towards resident individual of claim 1 is characterized in that described data storage service unit also comprises the health knowledge database, is used to deposit regimina sanitatis and health guidance record.
3. the described electronic health care archives economy of claim 2 towards resident individual, it is characterized in that the safety management service unit also carries out privacy management to the user, the file that is used for showing in client that described data report and management service unit generate is the soap message file.
4. the described electronic health care archives economy of claim 3 towards resident individual, it is characterized in that described main file case system also comprises data processing and Analysis Service unit, described data processing and Analysis Service unit comprise data analysis engine and healthalert suggestion engine; Described data analysis engine is at the reported data of sub-archives economy, with reference to residents ' health database of record and health knowledge database, adopt statistical analysis technique, decide the pairing resident living incident of current reported data whether to exceed the predefined early warning value of user, surpass early warning value and then start the healthalert suggestion engine; Described healthalert suggestion engine is driven by data analysis engine gained result and enters duty, and further with reference to the clinical information in the residents ' health database of record and user feedback record to the past healthalert, generate one group of healthalert and/or suggestion for user's selection, these results and/or suggestion are stored in the health records database on the one hand, are sent to user client by data report and management service unit on the other hand.
5. the described electronic health care archives economy of claim 4 towards resident individual, it is characterized in that described data processing and Analysis Service unit also comprise classification multiple information sources data query and integrated analysis engine, described classification multiple information sources data query and integrated analysis engine position and analyze the different aforementioned sources in the outside infosystem, determine different aforementioned sources from main to inferior, high interoperability level is clipped to low interoperability rank, from big to small, from as far as near different stage standard, at the request of user's current data, adopt branch rank mode to the inquiry that conducts interviews of outside infosystem.Carry out branch rank access queries during access queries, one takes turns the visit result compares with the expectation value of user's current data request, according to the result or carry out a new round (recurrence) graded operation, or finishes current operation.
6. claim 4 or 5 described electronic health care archives economies towards resident individual, it is characterized in that described data processing and Analysis Service unit also comprise residents ' health information anonymization processing engine, be used for will belong to the sensitive information of resident individual and family status sign and Private Parts give intelligent simulation and replace, hide, delete.
7. the described electronic health care archives economy of claim 6 towards the individual, it is characterized in that described sub-archives economy also comprises the encryption service unit, be used to be provided with and set up authenticating user identification and the data and the information that will send are carried out data encryption and digital signature processing.
8. claim 1---one of 5 described electronic health care archives economies towards resident individual is characterized in that described client is a mobile phone.
9. the described electronic health care archives economy towards resident individual of claim 6 is characterized in that described client is a mobile phone.
10. the described electronic health care archives economy towards resident individual of claim 7 is characterized in that described client is a mobile phone.
11. claim 1---one of 5 described electronic health care archives economies towards resident individual is characterized in that described data report and management service unit comprise master index Data Management Unit, health records Data Management Unit and health knowledge Data Management Unit; Described master index Data Management Unit is used for system-oriented user web interface, management data history, carry out data monitoring and maintenance, data retrieval and record merging, link and decomposition; Described health records Data Management Unit is used for towards the resident, carry out main system to subsystem and subsystem to the exchanges data between the main system, comprise packing data encapsulation, soap message generation, soap message transmission, soap message reception, data pick-up and deposit data; Described health knowledge Data Management Unit is used for system-oriented user web interface, carries out Data Update, data monitoring and maintenance and data retrieval.
12. be used for claim 1---the sub-archives economy of 9 described electronic health care archives economies, it is characterized in that comprising efficient storage of lightweight and enquiring component, the efficient storage with enquiring component of described lightweight comprises daily life observed and recorded module, storage element, query unit; Described daily life observed and recorded module is provided with daily life observed and recorded submodule, be used to show that the form of daily life record supplies the user to fill in, the data storing that daily life observed and recorded module is filled in the user is in storage element, and data are sent to main file case system according to the reported data record that the user selects, described query unit is used for the information request of recording user, information request is sent to main file case system, and receives result for retrieval that these requests of passing back from main file case system are obtained step of going forward side by side and show and store the data in the storage element.
13. the described sub-archives economy of claim 12 is characterized in that described sub-archives economy is arranged in the mobile phone.
14. claim 12 or 13 described sub-archives economies, it is characterized in that described sub-archives economy also comprises the encryption service unit, be used to be provided with and set up authenticating user identification and the data and the information that will send are carried out data encryption and digital signature processing.
15. the electronic health care archives economy of claim 1-11 is realized the method that daily life observed and recorded data report, and comprises the steps: 1), the user starts client application, explicit user log-in interface, 2), the user inputs password, enters the master menu page; 3), select daily life observed and recorded module; 4), select the daily life record sub module, show this submodule data entry form lattice; 5), fill up a form; 6), client's self-verifying input data normative and reasonable whether; 7), storage data record, the reply data utilize the encryption service unit to carry out encryption during storage, 8), select the reported data record, this step also utilizes the encryption service unit to carry out encryption simultaneously, and structure soap message, the Communications service of startup and server contact, above-mentioned function except that encrypting is finished by efficient storage of lightweight and enquiring component; 9), subsystem client is sent the request that reports health data to the main system server end; 10), server end is by the request of data of data report and management service unit receiving subsystem; 11), the safety management service unit Authentication Client hardware device of server end, server authentication client personal identification; 12), server end data report and management service unit deposit reported data in the residents ' health database of record.
16. the electronic health care archives economy of claim 1-11 realizes that daily life observed and recorded data report and with the method for external information system update, it is characterized in that comprising the steps: 1), the user starts client application, the explicit user log-in interface, 2), the user inputs password, enters the master menu page; 3), select daily life observed and recorded module; 4), select the daily life record sub module, show this submodule data entry form lattice; 5), fill up a form; 6), client's self-verifying input data normative and reasonable whether; 7), storage data record, the reply data utilize the encryption service unit to carry out encryption during storage, 8), select the reported data record, this step also utilizes the encryption service unit to carry out encryption simultaneously, and structure soap message, the Communications service of startup and server contact, above-mentioned function except that encrypting is finished by efficient storage of lightweight and enquiring component; 9), subsystem client is sent the request that reports health data to the main system server end; 10), server end is by the request of data of data report and management service unit receiving subsystem; 11), the safety management service unit Authentication Client hardware device of server end, server authentication client personal identification; 12), server end data report and management service unit deposit reported data in the residents ' health database of record; 13), server end data report and management service unit retrieval residents ' health master index database, know from result for retrieval which external data source in the external information system contains which kind of data of this user, and promptly this user's data update service has been subscribed to by which external information system; 14), obtain communication contact with Exchange Service unit starting and external data source, promptly construct soap message, start the resident and report the data updating notification service by data; 15), obtain with the Exchange Service unit by data and send Data Update notice to outside infosystem.
17. the electronic health care archives economy of claim 1-11 is realized the method for resident's personal information request, it is characterized in that comprising the steps: (1), sub-archives economy client is sent the request of obtaining health data to main file case system server terminal, (2), receive the request of data of sub-archives economy by the health records Data Management Unit of data report and management service unit, (3), data report and management service unit retrieval residents ' health archives master index database, obtain result for retrieval: there are which kind of data of this user in which external information system, (4), give classification multiple information sources data query and integrated analysis engine with data transfer, formulate the data retrieval scheme by this engine, (5), obtain and Exchange Service unit structure soap message by data, start patient data retrieval service and data and obtain service, (6), start Communications service with the external information interconnection, send retrieval request to the external data source of choosing, (7), data are obtained with the Exchange Service unit and are received result for retrieval, and will send classification multiple information sources data query and integrated analysis engine to from the result for retrieval that external information system related data sources obtains, (8), classification multiple information sources data query and the current result for retrieval of integrated analysis engine assessment, satisfied, then proceed to (9) step, dissatisfied, modification, got back to for (4) step, (9), data report and management service unit arrangement result, and deposit the result in the residents ' health database of record, (10), data report and management service unit transmit the result to subsystem client.
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| PCT/CN2010/077701 WO2011044838A1 (en) | 2009-10-13 | 2010-10-13 | Electronic health archives system oriented to resident individual |
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| Application Number | Priority Date | Filing Date | Title |
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| CN2009100935889A CN102043982A (en) | 2009-10-13 | 2009-10-13 | Citizen individual oriented electronic health record system |
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| CN102043982A true CN102043982A (en) | 2011-05-04 |
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| WO (1) | WO2011044838A1 (en) |
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