CN102880710A - Method for creating clinical documents by medical information platform - Google Patents

Abstract

The invention provides a method for creating clinical documents by a medical information platform and relates to the technical field of computer software. Services of a front-end computer is based on the medical information platform and mounted on various medical institutions in a manner of the front-end computer. The technical scheme includes that the method includes six steps of data acquisition, CDA (command and data acquisition) document generation, data analysis, data checkout, data transmission and data storage. The service process of the front-end computer includes acquiring various basic service data of the medical institutions, generating the CDA documents according to HL7 standards, analyzing and checking the contents of the documents, if in failure in checking, feeding back to the medical institutions, and encrypting, transmitting and storing the CDA documents passing the checking.

Description

A kind of method of utilizing the medical information platform to make clinical document

Technical field

The present invention relates to computer software fields, specifically a kind of method of utilizing the medical information platform to make clinical document.

Background technology

At present, most of medical institutions all have the information management system, clinic information system of oneself etc., accumulated a large amount of personal health informations, each medical institutions shared these information datas or to administration of health department carry count off according to the time, all be the data structure building data according to own existing system, after being transferred to other medical institutions or administration of health department, need according to the real system of oneself Data Analysis to be stored again, be subjected to the different of the difference of data structure and coded system, a lot of mistakes can occur, and increase work load.Adopt the HL7 international standard, business datum is generated the CDA document, can evade the problem that data structure and coded system are brought, easy-to-read.

But, medical institutions oneself generate the clinical file structure of CDA(Clinical Document Architecture) document, need study HL7(Health Level 7 health information exchange standards) standard transmission protocol, the CDA document is carried out legitimacy, validity check, need a large amount of manpower financial capacity of cost, in case there is mistake in the CDA document of producing, exchanged rear when it is resolved, the take over party can't obtain the data of wanting, perhaps there is mistake in document content, affects work efficiency.

Summary of the invention

The present invention is directed to the weak point that present technology exists, a kind of method of utilizing the medical information platform to make clinical document is provided.

The objective of the invention is to realize in the following manner, the medical information platform is installed in each medical institutions in the mode of front end processor, in the front end processor service, by the HL7 international standard protocol, make the CDA template document, by data acquisition all kinds of basic business data that the system of medical institutions produces are gathered, then call the CDA template, image data is generated the CDA document, pass through Data Analysis, data check is resolved and verification image data, when verification obstructed out-of-date, feed back to medical institutions, the Resurvey data, when data check passes through, the CDA document storage that verification is passed through is in front end processor disk directory or database, the data that verification is passed through are encrypted and are transferred to other medical institutions or administration of health information platform, the medical information platform generates the CDA document with the business datum that medical institutions gather, and the CDA document carried out the legitimacy verification, resolve and storage, CDA document generative process comprises data acquisition, generate the CDA document, Data Analysis, data check, data transmission and data storage, concrete steps are as follows:

1) data acquisition: the business datum that the system of medical institutions is produced gathers, take the data structure of medical institutions' existing system as support, mode according to { key: value } set is assembled the bunchiness graphic data with business datum, this collective data is not subjected to the impact of distributed data storage, can from different traffic table, take out the data that are associated and make up, and be lack of alignment;

2) generate the CDA document: the front end processor service is called the CDA masterplate after receiving { key: value } collective data string, with [value] replacement [key] corresponding content in the CDA masterplate, generates the CDA document with markup language;

3) Data Analysis: the business datum to medical institutions extracts, and according to the information that configures in the CDA masterplate, obtains property value corresponding under the specify labels, data-switching is become the mode of { data element: value };

4) data check: data check mainly is that the CDA that generates is done legitimacy, validation verification, corresponding relation data according to { data element: value } that parse, whether the indispensability of proof test value, length, data type when this value is the dictionary item, need this dictionary item of verification to exist; When verification goes out data and does not meet standard, with result feedback to medical institutions;

5) data transmission: the CDA document that verification is passed through is transferred to other medical institutions or administration of health information platform after encrypting;

6) data storage: the data storage comprises two parts: the one, and the CDA document that verification is passed through, another is the CDA document that is transferred to other medical institutions or administration of health information platform by exchange, the former is saved under the front end processor disk directory with file layout, call for the exchange transmission, the latter is stored in respectively in disk directory and the database in the mode of file and data-stream, increases file security.

The beneficial effect that method of the present invention has is: the document compiling method of unified standard is adopted in this front end processor service, the Various types of data of each medical institutions is made into the CDA document, be put into related medical mechanism or administration of health information platform, make things convenient for the relevant personnel to read, its advantage is:

(1) integrality

The front end processor service is with the generation CDA document of the business information complete specifications of medical institutions;

(2) readability

The front end processor service assembles the business information of medical institutions with a kind of specified structure and semantic document markup standard, convenient different people, different machine systems read and checked;

(3) high efficiency

The present invention supports to process the bulk information data, and creates mutually compatibility of system with large volume document;

(4) parsimony

The present invention installs simply, allows cheap enforcement in system more;

(5) saving property

The front end processor service generates the CDA document with business datum according to the HL7 standard handovers automatically, does not need medical institutions to drop into the manpower financial capacity again and goes to learn the HL7 standard and make the CDA document, for medical institutions reduce cost.

Description of drawings

Accompanying drawing 1 is the workflow diagram of front end processor service.

Embodiment

Be described in further details below in conjunction with 1 pair of method of the present invention of accompanying drawing.

Front end processor service of the present invention, based on the medical information platform, mode with front end processor is installed in each medical institutions, the business datum of medical institutions is generated the CDA document according to the HL7 standard, and the CDA document carried out legitimacy verification, parsing and storage, its technical scheme that solve the technical problem employing is as follows: this front end processor service by data acquisition, generate CDA document, Data Analysis, data check, data transmission and data six stages of storing and form.

Front end processor service of the present invention with all kinds of basic datas of different medical mechanism, assembles with the document markup normal structure of a kind of specified structure and the meaning of one's words, makes things convenient for other system of medical institutions or personnel to read.The specific works process of this front end processor service is:

Medical institutions are before submitting to business datum other people reading, in the front end processor service, by the HL7 international standard protocol, make the CDA template document, by data acquisition all kinds of basic business data that the system of medical institutions produces are gathered, then call the CDA template, image data is generated the CDA document, pass through Data Analysis, data check is resolved and verification image data, if verification is not passed through, then feed back to medical institutions, the Resurvey data if data check passes through, then are stored in front end processor disk directory or the database, and the data CDA document that verification is passed through is encrypted is transferred to other medical institutions or administration of health information platform, read for system of medical institutions or other personnel.

The present invention is based on the medical information platform, mode with front end processor is installed in each medical institutions, gather the Various Hospitals related data, and generate meet HL7(Health Level 7 health information exchange standards) the clinical file structure of CDA(Clinical Document Architecture of standard) document, be put into related medical mechanism or administration of health information platform, make things convenient for the relevant personnel to read.

Front end processor service of the present invention mainly is comprised of data acquisition, generation CDA document, Data Analysis, data check, data transmission and data six stages of storing.

Stages to this front end processor service is described in detail as follows respectively:

(1) data acquisition

The business datum that the system of medical institutions is produced gathers, take the data structure of medical institutions' existing system as support, mode according to { key: value } set is assembled the bunchiness graphic data with business datum, this collective data is not subjected to the impact of distributed data storage, can from different traffic table, take out the data that are associated and make up, and be lack of alignment;

(2) generate the CDA document

The front end processor service is called the CDA masterplate after receiving { key: value } collective data string, with markup language [value] replaced [key] corresponding content in the CDA masterplate, thereby generate the CDA document;

(3) Data Analysis

Business datum to medical institutions extracts, and according to the information that configures in the CDA masterplate, obtains property value corresponding under the specify labels, data-switching is become the mode of { data element: value };

(4) data check

Data check mainly is that the CDA that generates is done legitimacy, validation verification, and according to the corresponding relation data of { data element: value } that parse, the indispensability of proof test value, length, data type are if whether this value needs this dictionary item of verification to exist for the dictionary item.If verification go out data have non-compliant, then with result feedback to medical institutions;

(5) data transmission

The CDA document that verification is passed through is transferred to other medical institutions or administration of health information platform after encrypting;

(6) data storage

The data storage comprises two parts: the one, and the CDA document that verification is passed through, another is the CDA document that is transferred to other medical institutions or administration of health information platform by exchange.The former is saved under the front end processor disk directory with file layout, and the exchange transmission is called altogether, and the latter is stored in respectively in disk directory and the database in the mode of file and data-stream respectively, increases file security.

This front end processor service generates the CDA document with business datum according to the HL7 standard handovers automatically, does not need medical institutions to drop into the manpower financial capacity again and goes to learn the HL7 standard and make the CDA document, for medical institutions reduce cost; Because the business information of medical institutions is assembled with a kind of specified structure and semantic document markup standard, and convenient different people, different machine systems read and checked.

Except the described technical characterictic of instructions, be the known technology of those skilled in the art.

Claims (1)

1. method of utilizing the medical information platform to make clinical document, it is characterized in that the medical information platform is installed in each medical institutions in the mode of front end processor, in the front end processor service, by the HL7 international standard protocol, make the CDA template document, by data acquisition all kinds of basic business data that the system of medical institutions produces are gathered, then call the CDA template, image data is generated the CDA document, pass through Data Analysis, data check is resolved and verification image data, when verification obstructed out-of-date, feed back to medical institutions, the Resurvey data, when data check passes through, the CDA document storage that verification is passed through is in front end processor disk directory or database, the data that verification is passed through are encrypted and are transferred to other medical institutions or administration of health information platform, the medical information platform generates the CDA document with the business datum that medical institutions gather, and the CDA document carried out the legitimacy verification, resolve and storage, CDA document generative process comprises data acquisition, generate the CDA document, Data Analysis, data check, data transmission and data storage, concrete steps are as follows:

1) data acquisition: the business datum that the system of medical institutions is produced gathers, take the data structure of medical institutions' existing system as support, mode according to { key: value } set is assembled the bunchiness graphic data with business datum, this collective data is not subjected to the impact of distributed data storage, can from different traffic table, take out the data that are associated and make up, and be lack of alignment;

2) generate the CDA document: the front end processor service is called the CDA masterplate after receiving { key: value } collective data string, with [value] replacement [key] corresponding content in the CDA masterplate, generates the CDA document with markup language;

3) Data Analysis: the business datum to medical institutions extracts, and according to the information that configures in the CDA masterplate, obtains property value corresponding under the specify labels, data-switching is become the mode of { data element: value };

4) data check: data check mainly is that the CDA that generates is done legitimacy, validation verification, corresponding relation data according to { data element: value } that parse, whether the indispensability of proof test value, length, data type when this value is the dictionary item, need this dictionary item of verification to exist; When verification goes out data and does not meet standard, with result feedback to medical institutions;

5) data transmission: the CDA document that verification is passed through is transferred to other medical institutions or administration of health information platform after encrypting;

6) data storage: the data storage comprises two parts: the one, and the CDA document that verification is passed through, another is the CDA document that is transferred to other medical institutions or administration of health information platform by exchange, the former is saved under the front end processor disk directory with file layout, call for the exchange transmission, the latter is stored in respectively in disk directory and the database in the mode of file and data-stream, increases file security.

Images