CN104809590A - Intelligent cloud-synchronization medical information sharing system - Google Patents

Intelligent cloud-synchronization medical information sharing system Download PDF

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CN104809590A
CN104809590A CN201510234864.4A CN201510234864A CN104809590A CN 104809590 A CN104809590 A CN 104809590A CN 201510234864 A CN201510234864 A CN 201510234864A CN 104809590 A CN104809590 A CN 104809590A
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data
diagnosis
medical information
client
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CN104809590B (en
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陈明
曾旭东
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Ming Hao Information Technology Co Ltd Of Ganzhou City
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Ming Hao Information Technology Co Ltd Of Ganzhou City
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Abstract

The invention discloses an intelligent cloud-synchronization medical information sharing system, which mainly comprises a data reading and storing subsystem, a data local sharing subsystem, a data cloud-side synchronizing subsystem, a terminal sharing subsystem, a diagnosis and treatment card binding subsystem, an internal database and an external database, wherein the data reading and storing subsystem and the data local sharing subsystem carry out the conversion and the interaction of data through the internal database; after the data in the internal database are processed through the data cloud-side synchronizing subsystem, inspection and examination reports and image data are stored in the external database; the terminal sharing subsystem acquires the data through the external database; the diagnosis and treatment card binding subsystem realizes binding a diagnosis and treatment card by calling user data in the internal database and a registered user in the terminal sharing subsystem. The sharing of medical information with a patient can be quickly realized through a cloud synchronization function of the system, and meanwhile, the intelligent cloud-synchronization medical information sharing system has a reliable safety performance.

Description

The synchronous medical information sharing system of a kind of intelligent cloud
Technical field
The present invention relates to Medical data sharing field, be specifically related to the synchronous medical information sharing system of a kind of intelligent cloud.
Background technology
Information for hospital shared system experienced by more than ten days in the application of hospital of China, and systemic-function, from simple to complexity, from unit to network, develops very fast.From range of application, mainly take the design ap-plication of thought as the leading factor with charge of valuating, these application bring obvious benefit to hospital, also bring convenience, obtain the accreditation of hospital and patient to hospitalize.Along with society, constantly progressive and hospital leaders and clinical field work person progressively improve the understanding that hospital information is applied, people start to be not content with existing application, higher requirement is proposed to hospital information, namely the digitizing, the particularly informationization of clinical business that realize hospital business flow process is required.In recent years, this cry is more and more higher, part Domestic HIS supplier also starts to provide the system with some this respect functions, as PACS(image archiving and communication system) and LIS(laboratory (clinical laboratory) infosystem), should say that this is a very large progress, but this application newly most is at present based upon on the basis of existing system application, from the viewpoint of architecture and these systems of standardization, really there is many problems, but they meet the portion requirements of present hospitals after all, but it has been found that and continue development on this basis, comprise exploitation clinic information system, many difficulties can be run into.
At present, mainly there is some problem following in medical information sharing system:
(1) medical treatment experience is poor, common people's " difficulty and high cost of getting medical ".Nowadays " difficulty and high cost of getting medical " is a great problem having a strong impact on the Chinese society people's livelihood." difficulty and high cost of getting medical ", common people's difficulty is long in queuing, stand-by period, hurries back and forth back and forth in each section office.Doctor is difficult many patient, data is assorted, efficiency is low, China doctors and patients ratio is natively unbalance, each doctor is the work of overload every day, also need before making a definite diagnosis oneself to browse patient all cases and report data is time-consuming hinders brain, data obtains imperfect also easy mistaken diagnosis erroneous judgement, very easily causes medical tangle.
(2) data scatter, in disorder, each application system isolates each other.Existing software system data is all that independently they isolate all each other in data, workflow etc., and between the software systems that even same company provides, data each other all do not realize sharing completely, and the mark of patient neither be unique.The characteristics such as the dispersion of data is independent, chaotic and do not share cause the work efficiency of hospital low, and doctor needs frequently to browse a large amount of audit report and makes a definite diagnosis, and patient obtains final inspection report and also needs to run back and forth between each section office.
(3) security of system is poor.Extraneous device just can be accessed by internal network easily, and network security coefficient level is low, often causes the paralysis of network local.Interior employee arbitrarily uses the memory device such as USB flash disk, portable hard drive, causes virus to exist everywhere, and has a strong impact on normal work.Sensitive information arbitrarily stores, patient data easily by unauthorized theft, peddle, cause patient to the trust crisis of hospital.Lack more reliable safety management means, information-based accident occurs often, as computer virus attack, software vulnerability, the divulging a secret of significant data.
Also have a few money medical information sharing system in the market, majority manually to be taken pictures or scan-image data sends out step to realize information, and relative Hospital staff operating process is loaded down with trivial details, and workload is also large.
Generally speaking, it is complete that current Medical data sharing there is no a system data, simple to operate, doctors and patients' information transmission convenience, safe and reliable medical information sharing system.
Summary of the invention
Fundamental purpose of the present invention is that the shortcoming overcoming prior art is with not enough, there is provided a kind of intelligent cloud synchronous medical information sharing system, system can realize the connection directly with inspection checkout facility and medical imaging device, check result can be realized directly to be stored to internal database without the need to artificial treatment check result, simultaneously by a cloud simultaneous techniques, the check result of patient is uploaded to external data base, just can be realized the inquiry of medical information for patient by the terminal device of hospital or mobile phone A PP.
For achieving the above object, the present invention is achieved through the following technical solutions:
The synchronous medical information sharing system of a kind of intelligent cloud, it is characterized in that, this system mainly comprises digital independent and storage subsystem, the shared subsystem in data this locality, data high in the clouds synchronization subsystem, terminal share subsystem, internal database, external data base, described digital independent and storage subsystem read inspection, audit report or image data from Medical Devices, then use corresponding decoding program to decoding data and format conversion, and be kept in the internal database of hospital, described data this locality is shared subsystem and is realized sharing internal data by internal database, the Multilevel user of the system that arranges can be realized and different operating right functions is arranged to the user of different stage simultaneously, described data high in the clouds synchronization subsystem passes through high in the clouds synchronizing software in real time by the inspection in internal database, audit report data and image data are synchronized to high in the clouds, the inspection that high in the clouds will receive, audit report, after image data carries out data processing, convert the storage format in high in the clouds or picture or video storage in external data base, described diagnosis and treatment card binding subsystem is by calling the user data in internal database, then patient is shared in terminal the diagnosis and treatment card that the account of subsystem register and patient use in hospital to bind, described terminal shares user's register account number first in systems in which in subsystem, then after register account number being bound by diagnosis and treatment card binding subsystem and diagnosis and treatment card, user can be realized and check the relevant inspection of binding in diagnosis and treatment card, audit report and medical image data.
Further, described digital independent and storage subsystem comprise be responsible for device data to read according to several device interface software of equipment needs setting and several decoding programs, device interface software described in a set of data converter and decoding program after convert human understandable coded format to stored in public internal database.
Further, the shared subsystem in described data this locality comprises administrative client, medical image client, medical test inspection client.
Further, described data high in the clouds synchronization subsystem comprises a data sync client, a data synchronization server and a data format conversion program.
Further, described terminal is shared subsystem and is comprised that mobile terminal shares subsystem, WEB shares subsystem and pc client shares subsystem, described mobile terminal is shared subsystem and is comprised APP client and APP server, and described pc client is shared subsystem and comprised pc client and PC serve end program.
Further, described diagnosis and treatment card binding subsystem comprises a diagnosis and treatment card bound device and a binding system installed in a device.
Further, the inspection of described digital independent and storage subsystem, audit report or image data decoding and the form after change are respectively: check, audit report is binary data format, image data is dcm form.
Further, the Medical Devices docked in described digital independent and storage subsystem are mainly inspection, checkout facility and medical imaging device.
Compared with prior art, the present invention has the following advantages:
1, improve the problem of medical treatment experience and the difficulty and high cost of getting medical, improve quality of medical service by following.The use of native system can greatly facilitate patient, reduce the wait of patient and the time of queuing, after patient checks out, check result can be viewed by mobile phone, so both facilitate patient, save time, also facilitate hospital, improve the checking efficiency of hospital.
2, Economy type medicine cost, improves the problem of the high cost of getting medical treatment, goes back protection of the environment simultaneously.Hospital uses Paper Printing survey report usually, and medical image then uses film printing paper to print.These two kinds of printed materials all need to expend a large amount of expense of hospital.In addition, film printing paper is a kind of plasthetics, and physical environment is difficult to degraded, larger to the damage ratio of environment.And the ink printing use pollutes the environment equally.After hospital uses native system, hospital no longer needs audit report and image printing just can realize data sharing between patient and doctor.Greatly reduce the spending of hospital, also protect environment simultaneously.
3, data sharing, reference convenient, significantly improves the work efficiency of hospital.Instant for the audit report of patient can be delivered in doctor in charge's hand by system, simultaneity factor can also carry out classified finishing to the audit report of patient, doctor can retrieve all audit reports (comprising the audit report that other hospitals of storing in system share) of patient by shirtsleeve operation, decrease doctor and frequently browse time of a large amount of audit report while the time reducing patient frequent Pao Ge hospital and section office.
4, reliable security of system performance.Internal database and external data base is provided with respectively for hospital and patient, physical isolation has been carried out to two databases for different user, external data base only can read the authorization message of internal database simultaneously, can not modify to the information of internal database, digital independent be one unidirectional, patient just can check the medical data of the medical card bound with it after need registering simultaneously, and can not modify to data, and therefore system has reliable security performance.
Accompanying drawing explanation
A kind of intelligent cloud of accompanying drawing 1 the present invention synchronous medical information sharing system clinician user processing flow chart;
The synchronous medical information sharing system patient user of a kind of intelligent cloud of accompanying drawing 2 the present invention uses the process flow diagram of mobile terminal process;
The system architecture diagram of the synchronous medical information sharing system of a kind of intelligent cloud of accompanying drawing 3 the present invention.
Embodiment
Accompanying drawing 1, the attached idiographic flow that Figure 2 shows that present system process.System performs rear end programming system by user operation, and hereafter for difference clinician user role and patient user role, composition graphs 1 and Fig. 2 are described in detail following steps:
In step 401, doctor carries out interrogation to patient.In systems in which, doctor needs the data this locality logined in the present invention to share subsystem, and input patient diagnosis and treatment card information, reads patient's diagnosis records and report in the past.
In step 402, doctor, by patient's interrogation, judges whether to need patient compliance to carry out image check (as B ultrasonic) or check to check that (as blood drawing) makes a definite diagnosis further, if needed, performs 403 steps, do not need, directly enter step 407.
In step 403, doctor needs the classification checked according to patient to share medical image client in subsystem in data this locality or medical test checks the inspection application of filling in different lists in client.
In step 404, check that section office doctor is according to patient's check result, medical image client in the shared subsystem in data this locality or medical test check in client provides corresponding audit report, what carry out as patient is image check, then need to login PACK and go out medical imaging report, what carry out as patient is inspection inspection, then login inspection that medical test check system submission system generates automatically, audit report.Public lecture after submission is shared subsystem by data this locality and is automatically uploaded in internal server database.
In step 405, interrogation doctor reads in the audit report generated in 404 steps in internal server by system.
In a step 406, data high in the clouds synchronization subsystem can transfer the audit report data in internal server database automatically, by being stored in outer benefit database after data sync client end, data synchronization server and Data Format Transform routine processes, patient is facilitated to download in data step and check report.
In step 407, interrogation doctor shares subsystem by data this locality and provides medical report, and system can upload medical report in external data base by data high in the clouds synchronization subsystem automatically, and aspect patient downloads and checks report in 409 steps.
In a step 408, first patient needs by the APP client in web download present system.
In step 409, patient can be downloaded by the operation of APP client and be viewed oneself medical report and audit report, but reports that system first can perform the operation of 410,412 before display.
In step 410, system will judge whether patient has bound diagnosis and treatment card, if not binding, performing 411 prompting users needs first to bind diagnosis and treatment card to obtain data, if bound diagnosis and treatment card, performs 412 operations.
In step 411, system prompts user needs first to bind diagnosis and treatment card to obtain data, if user performs bindings, system is run APP service routine by being shared subsystem by mobile terminal and calls the binding that diagnosis and treatment card binding subsystem completes patient's diagnosis and treatment card.Or patient can bind diagnosis and treatment card by diagnosis and treatment card bound device, if perform this operating system can call diagnosis and treatment card interface by built-in binding system in diagnosis and treatment card bound device and APP bound device interface completes bindings.
In step 412, system will be called external data base by data high in the clouds synchronization subsystem and obtain data message.
In step 413, the data message that will read in display 412 of system.
As shown in Figure 3,
The synchronous medical information sharing system of a kind of intelligent cloud, this system mainly comprises digital independent and storage subsystem, subsystem is shared in data this locality, data high in the clouds synchronization subsystem, terminal shares subsystem, diagnosis and treatment card binding subsystem, internal database, external data base, described digital independent and storage subsystem, data this locality is shared subsystem and is carried out data conversion with mutual by internal database, data in described internal database are by storing data in external data base after the synchronization subsystem process of data high in the clouds, described terminal is shared subsystem and is obtained data by external data base, described terminal is shared subsystem and is comprised mobile terminal and share subsystem, WEB shares subsystem and pc client shares subsystem, can realize in mobile terminal and WEB system (website) and pc client operation, described diagnosis and treatment card binding subsystem realizes diagnosis and treatment card bind by calling user data in internal database and the mobile terminal registered user shared in subsystem.
Digital independent and storage subsystem
First this subsystem reads report or image data by software interface from Medical Devices; Then use corresponding decoding program to decoding data and format conversion, and be kept in the home server of hospital internal, report is wherein preserved in a database in data format, and image data is stored on the hard disk of home server with dcm form, described Medical Devices are mainly inspection, checkout facility and medical imaging device.
Subsystem is shared in data this locality
The user of this subsystem is medical worker and system manager.System manager sets parameter by system management end, and has registered account and batch operation authority for medical worker.The account that medical worker uses system manager to distribute logs in shared system, inquire about, transfer, the inspection of the patient that reads, audit report and medical image.
Data high in the clouds synchronization subsystem
Report data and image data are synchronized to high in the clouds by high in the clouds synchronizing software by this subsystem in real time, and the inspection received, audit report are converted to the storage format in high in the clouds and are stored in cloud database by cloud server end program; Convert the medical image received to picture or video, be stored in cloud server.The synchronous frequency in high in the clouds is automatically adjustable (1-10 second/time).
Terminal shares subsystem
The user of this subsystem is generally patient, uses this system to need registration system account, and user can pass through APP, pc client, WEB system (website) three kinds of mode register account number.After user has registered account, terminal is used to share subsystem by mobile terminal, pc client, WEB system (website) three kinds of modes.
During by this subsystem of mobile terminal accessing: patient downloads APP by website and installs, and uses the account login system registered by the way.By diagnosis and treatment card binding subsystem, the account of diagnosis and treatment card and above-mentioned registration is bound.Then patient can check the inspection relevant with the diagnosis and treatment card bound, audit report and medical image data.When accessing this subsystem by WEB system (website): patient uses mobile device or computer login website also to use the account login system registered by the way.In WEB system (website), add the diagnosis and treatment card of patient and the inspection relevant with the diagnosis and treatment card bound, audit report and medical image data after performing bindings, can be checked.When accessing this subsystem by pc client: patient downloads pc client by website and installs, and uses the account login system registered by the way.In pc client, add the diagnosis and treatment card of patient and the inspection relevant with the diagnosis and treatment card bound, audit report and medical image data after performing bindings, can be checked.
Diagnosis and treatment card binding subsystem
This subsystem is used for the terminal of patient registration to share the diagnosis and treatment card that subsystem account and patient use in hospital and binds.The prerequisite of this system is used to be that user has been downloaded and installed terminal and shares the application program of subsystem and have registered account or registered by WEB system (website), pc client.First, diagnosis and treatment card is inserted card reader by user, by the Quick Response Code in application program after screen prompting reading Quick Response Code to be shown, mobile device is moved to scanning area, and at Quick Response Code alignment scanning device.Screen prompting binding to be shown completes, then complete bindings.
Above-mentioned digital independent and storage subsystem comprise several device interface software and several decoding programs, a set of data converter and an internal database of setting according to equipment needs; Above-mentioned data this locality is shared subsystem and is comprised administrative client, medical image client, medical test inspection client; Above-mentioned data high in the clouds synchronization subsystem comprises a data sync client, an external server and a data format conversion program; Terminal is shared subsystem and is comprised that mobile terminal shares subsystem, WEB shares subsystem and pc client shares subsystem; Diagnosis and treatment card binding subsystem comprises a diagnosis and treatment card bound device and one and installs binding system in a device, and wherein the device interface software of digital independent and storage subsystem and decoding program convert human understandable coded format to stored in public internal database after being responsible for device data to read.
The present invention is combined by multiple system and equipment and forms, and first enforcement of the present invention need to build the LAN (Local Area Network) and internet that can be communicated with and need to use this system, and have the server apparatus that can carry present system.
Check in system, the image documentation equipment such as checkout facility and B ultrasonic is the existing checkout facility of various big hospital.The building of system needs to dispose a terminal device in LAN (Local Area Network) and for carrying digital independent and storage subsystem, subsystem is shared in data this locality, data high in the clouds synchronization subsystem runs multiple large server owner equipment simultaneously, installs corresponding client-side program respectively needing the section office of the system that uses and client.A synchronous shared system server in data high in the clouds is built with service data high in the clouds synchronization subsystem and external data base at outer net, a WEB server is built to run WEB system at outer net, an application server is built to run PC serve end program and APP serve end program at outer net, and provide mobile terminal to share APP client downloads address and pc client in subsystem to share pc client download address in subsystem, download APP client at any time by patient or pc client can realize basic running of the present invention.

Claims (9)

1. the synchronous medical information sharing system of intelligent cloud, it is characterized in that, this system mainly comprises digital independent and storage subsystem, the shared subsystem in data this locality, data high in the clouds synchronization subsystem, terminal share subsystem, internal database, external data base, described digital independent and storage subsystem read inspection, audit report or image data from Medical Devices, then use corresponding decoding program to decoding data and format conversion, and be kept in the internal database of hospital, described data this locality is shared subsystem and is realized sharing internal data by internal database, the Multilevel user of the system that arranges can be realized and different operating right functions is arranged to the user of different stage simultaneously, described data high in the clouds synchronization subsystem passes through high in the clouds synchronizing software in real time by the inspection in internal database, audit report data and image data are synchronized to high in the clouds, the inspection that high in the clouds will receive, audit report, after image data carries out data processing, convert the storage format in high in the clouds or picture or video storage in external data base, described diagnosis and treatment card binding subsystem is by calling the user data in internal database, then patient is shared in terminal the diagnosis and treatment card that the account of subsystem register and patient use in hospital to bind, described terminal shares user's register account number first in systems in which in subsystem, then after register account number being bound by diagnosis and treatment card binding subsystem and diagnosis and treatment card, user can be realized and check the relevant inspection of binding in diagnosis and treatment card, audit report and medical image data.
2. the synchronous medical information sharing system of a kind of intelligent cloud according to claim 1, it is characterized in that, described digital independent and storage subsystem comprise several device interface software and several decoding programs, a set of data converter of setting according to equipment needs, and described device interface software and decoding program are responsible for converting human understandable coded format to stored in public internal database by after device data reading.
3. the synchronous medical information sharing system of a kind of intelligent cloud according to claim 1, is characterized in that, described data this locality is shared subsystem and comprised administrative client, medical image client, medical test inspection client.
4. the synchronous medical information sharing system of a kind of intelligent cloud according to claim 1, is characterized in that, described data high in the clouds synchronization subsystem comprises a data sync client, a data synchronization server and a data format conversion program.
5. the synchronous medical information sharing system of a kind of intelligent cloud according to claim 1, is characterized in that, described terminal is shared subsystem and comprised that mobile terminal shares subsystem, WEB shares subsystem and pc client shares subsystem.
6. the synchronous medical information sharing system of a kind of intelligent cloud according to claim 5, it is characterized in that, described mobile terminal is shared subsystem and is comprised APP client and APP server, and described pc client is shared subsystem and comprised pc client and PC serve end program.
7. the synchronous medical information sharing system of a kind of intelligent cloud according to claim 1, is characterized in that, described diagnosis and treatment card binding subsystem comprises a diagnosis and treatment card bound device and a binding system installed in a device.
8. the synchronous medical information sharing system of a kind of intelligent cloud according to claim 1 and 2, it is characterized in that, the inspection of described digital independent and storage subsystem, audit report or image data decoding and the form after change be respectively: check, audit report is binary data format, image data is dcm form.
9. the synchronous medical information sharing system of a kind of intelligent cloud according to claim 1 and 2, is characterized in that, the Medical Devices docked in described digital independent and storage subsystem are mainly inspection, checkout facility and all kinds of medical imaging device.
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