A kind of trans-regional electronic health record is location and shared System and method for fast
Technical field
The present invention relates to the quick location of medical information and sharing means and method, particularly a kind of trans-regional electronic health record and the intercommunication of health account, the technology of sharing and cooperating belong to the medical information field.
Background technology
Along with the informationalized development of basic medical unit, the raising of medical level and service quality, the application demand of electronic medical records is strong day by day.Electronic health record not only comprises individual's medical records, i.e. outpatient service, all medical informations of being in hospital and going to a doctor also comprise individual health records, as: contents such as immunity inoculation, Physical Examination, health status.Be carrier with the electronic health record, can be better for urban and rural residents provide continuously, comprehensive, suitable, economic public health service and primary care, share at quality of medical care control, clinical decision support, hospital's operation management, area medical information, medical act is supervised that very important effect is arranged.
Along with the basic medical unit informatization, electronic health record is by the basic medical unit unified management of resident location, if can realize quick location and the Real-Time Sharing of resident's electronic health record and health account, namely no matter where the resident seeks medical advice, can both navigate to the location of resident's electronic health record and health account rapidly, and the resident's electronic health record that has access to and health account all are unique, continuous, this will improve resident's result for the treatment of greatly, and reduction resident's that can be practical medical expense.At present general health account and electronic health record construction scheme are difficult to satisfy the target of national health archives and electronic medical record system construction, the information-based function of big medical institutions inside is strong inside the province, but the overall synergy between the medical institutions is poor, information can not intercommunication between the system, resource can not be located and Real-Time Sharing fast, lack information sharing mechanism and business collaboration mechanism, the information mutual communication of seeking medical advice between trans-regional for the resident has brought very big obstruction.Perfect, electronic health record and health account shared mechanism should overcome difficult point easily and efficiently: 1, data quick positioning question 2, centralized data center are built maintenance issues 3, data in real time transmission problem 4, the uneven problem 5 of each medical institutions' technical equipment, each inter-system data interaction problems.Be in particular in: when 1, the medical worker consults patient's electronic health record, how to locate and to find the actual storage locations of patient's electronic medical records fast.Data center monitors according to prediction: by in by the end of June, 2012, national medical and health organization number reaches 96.0 ten thousand, wherein: 2.3 ten thousand in hospital, 92.3 ten thousand of primary care health organs, 1.4 ten thousand in other mechanisms.In the primary care health organ: 3.4 ten thousand of community medical service center'ss (station), 3.7 ten thousand of health clinics in towns and townships, 66.4 ten thousand of village's clinics, clinic (clinic) 17.8 ten thousand.Wherein Shandong comprises that hospital, primary care health organ, professional NSF and other mechanisms have 68275 medical institutions.Only 5% of the 2012 national medical insurance strange lands super medical insurance number of number of seeking medical advice, wherein the Shandong number of seeking medical advice in the strange land of protecting has surpassed 100,000 people, the electronic health record information of seeking medical advice in the strange land has surpassed the data volume of 10T, so huge electronic health record information is distributed throughout the country in the medical institutions of different regions, at present also without comparison ripe index technology can navigate to specific medical record information in the zone so on a large scale fast and accurately.2, centralized data center is built the maintenance cost problem.Office adds up according to statistics, and the total population of the 6th national census in 2012 is 1339724852 people, and wherein Shandong is 95793065 people.Suppose that the Shandong Province can provide the special line of unrestricted bandwidth to be used for the electronic health record platform construction, the data that the construction of city level central database will be carried 9.579PB, what the operation management cost can be big is surprising.3, electronic health record and residents ' health archives not only can be consulted in real time but also can be made amendment according to actual conditions, and are transferred to former memory point.How carrying out the electronic medical records transmission of Information fast also is technological difficulties.Counted on for the end of the year 2011 according to the Ministry of Public Health, if the modification of each electronic health record will be carried out Web broadcast in the system of each medical institutions, outpatient service diagnosis and treatment number according to statistics in the end of the year 11, average per second will increase 11.637 electronic health records newly, if newly-increased electronic medical records has only 1KB, then the network carrying amount of per second will reach 775.8947M, say nothing of to add the huge image data of data volume in the electronic health record.4, the primary care equipment and technology is uneven.According to the result of the 6th census in the whole nation, the whole nation 13.4 hundred million people, people in the countryside occupy 50.32%, and the floating population has 2.2 hundred million people, and this part crowd is distributed in the following rural area, county that medical and basic communications service falls behind.Most local difficult in long-time, be difficult to set up good secure data storage, transmission systems.5, because mechanism is closed in hospital and medical insurance mechanism, new farming adheres to health, labor and social security, new farming separately and close different government departments such as management organization and administer; the transmission standard of electronic medical records data and mode and disunity; realize that hospital's electronic medical records is shared, need to realize being connected by many " interface " and different system.And the set that electronic medical record system is made up of a plurality of systems such as hospital information system, check system, image system, radiology systems.The electronic health record transmission standard of safety owing to lack standard, add the restriction of the technical merit of going to the hospital own, can increase system loading, cause potential safety hazard, cause information dropout or system mistake to system operation by " interface " sharing mode, influence the safety of patient privacy.
Chinese patent (application number: CN200910034257.8, patent name: the electronic medical record system of realizing the inter-region medical data sharing) this piece patent has proposed to be combined the EMR system pattern of formation inter-region medical data sharing with portable individual electronic medical record PEMR with the electronic health record HEMR of hospital, realized data sharing function in data acquisition, storage and the hospital, but the equipment of portable HEMR constantly plug is loaded down with trivial details bothersome, and the waste plenty of time, just in case lose, also can cause certain information leakage.
Chinese patent (application number: CN200410084642.0, patent name: based on the case history exchange system of ebXML) this piece patent is connected with the electronic medical record system of each medical institutions by Web Service interface, solved the mutual problem of the incompatible difficulty of each medical system, but various places medical institutions are numerous, it is unpractical that short time is unified all medical systems, also is infeasible.
Chinese patent (application number: CN201110143494.5, patent name: a kind of hospital that cooperates is the multi-functional wristwatch special that the patient preserves the case history system, the USB interface electronic health record) stores a kind of powerful general patient's electronic medical record system of national hospital in this piece patent utilization wrist-watch in the USB flash disk encrypted area, overcome with the case history system that has solved the patient easily and move, the network transmission, with carry the whole nation each hospital can't be general problem, but it is constantly to plug when reading information that information is deposited in the portable set in one, and information deposits in the wrist-watch, just in case water inlet can cause serious problems such as information dropout accidentally.
Chinese patent (application number: CN02112163.X, patent name: intelligent electronic medical record cards system) this piece patent is digitizing, the intellectuality that medical history information has been realized on the basis with digital technology and Internet technology, digitizing storage, transportation and the intelligent management of medical image data, chemical examination data; It possesses multinomial extension function simultaneously, makes multiple medical resource fully shared, and safe and convenient data channel is arranged between hospital and the society.But this read-write card links to each other with PC by the USB mouth, not only need constantly plug read-write card during each outpatient service, and it is viral that read-write card is infected, and causes information errors or loses.
Chinese patent (application number: 201120165662.6, patent name: a kind of telemedicine service platform system) this piece patent has been set up a comprehensive application platform, realizes that by the internet medical resource is shared.It is higher to network requirement that but lot of data real-time network in cooperating process transmits, and the construction cost costliness.
Chinese patent (application number: 201210195099.6, patent name: a kind of trans-regional medical imaging information sharing system and method) this piece patent is by setting up medical imaging zone centralized storage, and dedicated network and acting server are realized sharing of medical imaging information within and outside the region.But centralized data storage can cause a large amount of maintenance consumption, and dedicated network set up the cost costliness.
Summary of the invention
Purpose of the present invention is exactly in order to address the above problem, provide a kind of based on electronic health record and health account management system, rely on electronic health record and health account sharing module, realize the integrated assembling of the information-based application platform of distributed basic health, electronic health record and health account are realized trans-regional information sharing with the form of loose coupling.
For achieving the above object, the present invention adopts following technical scheme:
A kind of trans-regional electronic health record and health account be location and shared system fast, comprises message resource locating module, message transmission module, message resource collaboration module, message queue manager module;
Message resource locating module is for resident's essential information of quick and precisely searching the province cities and counties;
Message is transmitted module, is used for reception, exchange and the transmission of electronic health record, health account message;
Message resource collaboration module is used for passing through the pattern of exchange step by step, realizes the demand of the trans-regional shared electron case history of the whole province and health account;
The message queue manager module is used for reception and the transmission of the message of the formation of management remote message, message transfer formation and target message formation.
Described message resource locating module comprises province cities and counties base directory service module, catalogue modified module, catalogue synchronization module, directory permission administration module;
Province cities and counties base directory service module, the resident's essential information catalogue that is used for disposing the whole province, and the catalogue that each data point is preserved is identical;
Resident's essential information catalogue of the whole province comprises the positional information of essential information, electronic health record and health account;
The catalogue modified module, for increasing, revise and deletion resident essential information, electronic health record and health account and index error when avoiding the increase, modification of resident's essential information, electronic health record and health account and deletion;
The catalogue synchronization module is used for the resident being taken place when newly changing as the resident in any counties and districts, utilizes can be the fast synchronous technical characterstic of directory service, rapidly the information synchronization of change is arrived each node of the whole province;
The directory permission administration module is used for realization to user's Unified Identity management, unified identity authentication, the concentrated mandate.
Described message is transmitted module and is comprised MQ message shared platform and message conversion bridge module.
MQ message shared platform is used for transmission, the transit working of message between the carrying different system;
The message conversion bridge module is used for the switching of message, from a message collaboration module message is delivered to another message and transmits module, avoids causing confusion in the message process.
Described message collaboration module module comprises message monitoring module, message transmission module, message sink module;
Message is monitored module, is used for the monitoring of message related to resources, and triggers the transmission of message;
Message transmission module is used for the transmission of message, and request or data-message are sent to the message shared platform from the transmission of messages formation;
The message sink module is used for the reception of message, and request or data-message are received from the message shared platform and put in the remote message formation.
Described message queue manager module comprises message transfer formation module, remote message formation module and target message formation module;
Message transfer formation module is used for the message that reception application system and remote message formation are sent, and message is sent to the message collaboration module, utilizes message transmission module to send message;
Remote message formation module is used for the message that the receiving remote system sends, and sends in the message transfer formation;
Target message formation module is used for accepting message from the message shared platform, and is sent in the application program according to the message location.
A kind of trans-regional electronic health record and health account be location and shared method fast, specifically comprises step:
Step (1): after entering application program relevant with electronic health record and health account in the local system by Authority Verification, when the needs information updating or when obtaining, can utilize the base directory service in the message resource locating module to navigate to locational information fast;
Step (2): the application program packing has the message of data destination, and utilizes message queue manager to send message;
Step (3): the message shared platform receives message from the message collaboration module, and can be sent to message by the switching of message switching bridge one-level level the message sink module of far end system.
Step (4): far end system receives message and puts into message queue manager by the message collaboration module, message queue manager is analyzed source and the destination of message, to determine receiving message to the destination application of system, perhaps continue message transfer by the message shared platform.
Described step (1) comprises the steps:
Step (1-1): the application program relevant with electronic health record and health account in the local system, need be by the Authority Verification in the message resource locating module when needing visit data;
Step (1-2): when this application program need data message to upgrade or obtain, directory information is revised or when upgrading, all can navigate to the information destination fast by the base directory service in the message resource locating module;
Described step (2) comprises the steps:
Step (2-1): the application program relevant with electronic health record and health account in the local system when needing Data Update or data to obtain, can send a message to the transmit queue of message queue manager.
Step (2-2): the transmit queue of message queue manager receives message and the remote queue message transmitted that application program is sent, and is transferred to message transmission module.
Step (2-3): message transmission module queue management wherein the transmit queue message that will send send in the message shared platform.
Described step (4) comprises the steps:
Step (4-1): the message collaboration module in the far end system is monitored module by message, has listened to message and has sent in far end system from the message shared platform.
Step (4-2): the message sink module in the message collaboration module receives this message and it is input in the object queue.
Step (4-3): message queue manager is analyzed the destination of message, if target is to this far end system, then receives message and be input in the application program of response of this far end system, otherwise object queue is delivered to message the message transmission module of native system.
Step (4-4): the message collaboration module can continue this message to send in the message shared platform again, continues to transmit downwards for message.
Beneficial effect of the present invention:
1, builds at the medical basic resource of country, build with respect to concentrating, need not to set up expensive big data center and communications facility, can save a large amount of construction and operation and maintenance expenses on the one hand and use; On the other hand, can realize trans-regional electronic health record and health account location and shared fast by the three layers of directory service in province cities and counties; With respect to other distributed construction, the message-oriented middleware mode possesses stronger professional platform independence, is applicable to variety of ways such as common WebService, file, TCP/UDP, is easier to the progressively access of medical institutions.
2, for the patient, be convenient to set up the lifelong medical data data of complete individual, no matter where the resident seeks medical advice, the resident's electronic health record and the health account that have access to are unique, the process of seeking medical advice in the strange land and result also can both return the resident ground of filing, and guarantee continuity, the integrality of electronic health record and health account, really realize that control synchronously, reverse the situation that light prevention is all the time heavily treated, save a large amount for the treatment of funds.
3, for medical institutions, on the one hand, by access point nearby, directly visit electronic health record and the health account on the ground of filing, can effectively shunt, avoid causing network blockage, obtain patient's history information fast; On the other hand, by having access to history information, can grasp patient's situation comprehensively, take all factors into consideration therapeutic scheme, avoid all kinds of recheckings, the waste that unreasonable treatment causes and dispute guarantee result for the treatment of, improve doctor-patient relationship.
Description of drawings
Fig. 1 is a kind of trans-regional electronic health record and health account sharing module;
The process flow diagram that Fig. 2 locatees fast for a kind of trans-regional electronic health record and health account, shares;
The instance graph that Fig. 3 locatees fast for a kind of trans-regional electronic health record and health account, shares;
Embodiment
The invention will be further described below in conjunction with accompanying drawing and example.
As shown in Figure 1, a kind of trans-regional electronic health record and health account is located fast, sharing module comprises message resource locating module, message is transmitted module, message resource collaboration module, message queue manager module, base directory service, catalogue synchronization module, catalogue modified module, authority management module, MQ message shared platform, MQ broker Bridge1022, message transmission module, message are monitored module, message sink module, remote message formation, message transfer formation, target message formation.
Described message resource locating module is used for quick and precisely searching resident's essential information of province cities and counties.
Described message resource locating module comprises province's cities and counties' base directory service, catalogue modified module, catalogue synchronization module, directory permission management.
Described province cities and counties base directory service module is disposed resident's essential information catalogue of the whole province, and the catalogue that each data point is preserved is identical.
Resident's essential information catalogue of described the whole province comprises the positional information of essential information, electronic health record and health account.
Described catalogue modified module for increasing, revise and the module of deletion resident essential information, electronic health record and health account and index error can avoid the increase, modification of resident's essential information, electronic health record and health account and deletion the time.
Described catalogue synchronization module is used for the resident being taken place when newly changing as the resident in any counties and districts, utilizes can be the fast synchronous characteristics of directory service, rapidly the information synchronization of change is arrived each node of the whole province.
Described directory permission management is used for realization to user's Unified Identity management, unified identity authentication, the concentrated mandate.
Described message is transmitted reception, exchange and the transmission that module is used for electronic health record, health account information.
Described message is transmitted module and is comprised MQ message shared platform, MQ broker Bridge.
Described message collaboration module is used for passing through the pattern of exchange step by step, can realize the demand of the trans-regional shared electron case history of the whole province and health account.
Described message collaboration module comprises message transmission module, message monitoring module, message sink module.
Described message transmission module is used for the transmission of message, and namely MQ broker sends to the message shared platform to request or data-message from the transmission of messages formation.
Described message is monitored module and is triggered the transmission of message.
Described message sink module is used for the reception of message, and request or data-message are received from the message shared platform and put in long-range (target) message queue.
Described message queue manager is used for reception and the transmission of the message of the formation of management remote message, message transfer formation and target message formation.
Described message queue manager comprises message transfer formation module, remote message formation module and target message formation module;
Described message transfer formation module is used for the message that reception application system and remote message formation are sent, and message is sent to the message collaboration module, utilizes message transmission module to send message;
Described remote message formation module is used for the message that the receiving remote system sends, and sends in the message transfer formation;
Described target message formation module is used for accepting message from the message shared platform, and is sent in the application program according to the message location.
As shown in Figure 2, a kind of trans-regional electronic health record and health account is located fast, share process flow diagram comprises that message resource locating module, message transmits module, message resource collaboration module, message queue manager, base directory service, catalogue synchronization module, catalogue modified module, authority management module, MQ message shared platform, message switching bridge, message transmission module, message and monitor module, message sink module, remote message formation module, message transfer formation module, target message formation module.
A kind of trans-regional electronic health record and health account be location and shared method fast, specifically comprises step:
Step (1): after the Authority Verification by authority management module enters the application program relevant with electronic health record and health account in the local system, when the needs information updating or when obtaining, can utilize the base directory service in the message resource locating module to navigate to locational information fast.
Step (2): the application program packing has the message of data destination, and utilizes message queue manager to send message.
Step (3): MQ message shared platform receives message from message resource collaboration module, and can be sent to message by the switching of message switching bridge one-level level the message sink module of far end system.
Step (4): far end system receives message and puts into message queue manager by the message collaboration module, message queue manager is analyzed source and the destination of message, to determine receiving message to a certain application program of system, perhaps continue message transfer by the message shared platform.
Described step (1) comprises the steps:
Step (1-1): the application program relevant with electronic health record and health account in the local system, need be by the Authority Verification in the message resource locating module when needing visit data.
Step (1-2): when this application program need data message to upgrade or obtain, directory information is revised or when upgrading, all can navigate to the information destination fast by the base directory service in the message resource locating module.
Described step (2) comprises the steps:
Step (2-1): the application program relevant with electronic health record and health account in the local system when needing Data Update or data to obtain, can send a message to the transmit queue of message queue manager.
Step (2-2): the message transfer formation of message queue manager receives message and the remote queue message transmitted that application program is sent, and is transferred to message transmission module.
Step (2-3): message transmission module is managed the message that wherein message transfer formation will send to message queue and is sent in the MQ message shared platform.
Described step (4) comprises the steps:
Step (4-1): the message collaboration module in the far end system is monitored module by message, has listened to message and has sent in far end system from the message shared platform.
Step (4-2): the message sink module in the message collaboration module receives this message and it is input in the target message formation.
Step (4-3): message queue manager is analyzed the destination of message, if target is to this far end system, then receives message and be input in the application program of response of this far end system, otherwise object queue is delivered to message the message transmission module of native system.
Step (4-4): the message collaboration module can continue this message to send in the message shared platform again, continues to transmit downwards for message.
The instance graph that Fig. 3 locatees fast for a kind of trans-regional electronic health record and health account, shares.
Concrete steps are as follows:
Step (1): three grades of platform construction NetWare directory services NetWares in the cities and counties, Shandong Province, resident's essential information catalogue of the whole province is disposed in every grade of directory service, and resident's essential information catalogue comprises the positional information of essential information, electronic health record and health account.
Step (2): Shandong, Jinan City, Shandong Province hospital client sends the electronic health record information that Weihai patient Zhang San is checked in request.
Step (3): message is monitored module and is listened to the message that sends from Shandong, Jinan City, Shandong Province hospital client, triggers platform directory service program immediately.
Step (4): hospital system navigates to Weihai patient Zhang San's thick area, electronic health record information institute village fast according to the directory service program, namely in the hospital of Weihai Huancui District Weihai.
Step (5): MQ broker Bridge is forwarded to the Huancui District platform with message by province's platform, Weihai City's platform.
Step (6): Huancui District Weihai, Weihai message sink end response hospital Jinan City, Shandong Province Shandong hospital client-requested, and allow data interchange.
Described step (4) comprises the steps:
Step (4-1): hospital system at first connects the application of Lixia District primary care healthcare data switching plane and checks electronic health record.
Step (4-2): Lixia District primary care healthcare data switching plane calls the local directory service, determines that the resident is the emerald green resident of ring.
Step (4-3): Lixia District primary care healthcare data switching plane connects the emerald green resident's of Lixia District primary care health message shared platform application ring electronic health record.
Step (4-4): Lixia District primary care health message shared platform listens to information and sending message to the emerald green electronic health record of Jinan City's health care message shared platform application ring.
Described step (5) comprises the steps:
Step (5-1): Jinan City's health care message shared platform is transmitted to province's platform with request;
Step (5-2): economize platform and be transmitted to Weihai City's platform;
Step (5-3): the Huancui District platform is given in platform request of transmitting in Weihai City's;
Described step (6) comprises the steps:
Step (6-1): the local electronic medical record system of Huancui District platform access, obtain electronic health record, give the Huancui District shared platform by the message intercommunication module;
Step (6-2): step by step electronic health record is turned back to the provincial hospital again;
Step (6-3): after Shandong hospital carries out diagnosis and treatment, revises electronic health record, in this order electronic health record is returned to the emerald green platform of ring again.