CN105808938A - Information exchange platform and information exchange method thereof - Google Patents

Information exchange platform and information exchange method thereof Download PDF

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Publication number
CN105808938A
CN105808938A CN201610123911.2A CN201610123911A CN105808938A CN 105808938 A CN105808938 A CN 105808938A CN 201610123911 A CN201610123911 A CN 201610123911A CN 105808938 A CN105808938 A CN 105808938A
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Prior art keywords
information
module
patient
file
transmission device
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Inventor
吕军震
赵凯
胥洪锋
于国方
张建广
王同建
李长松
武佳
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XINBO ZHUOCHANG TECHNOLOGY (BEIJING) Co Ltd
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XINBO ZHUOCHANG TECHNOLOGY (BEIJING) Co Ltd
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Priority to CN201610123911.2A priority Critical patent/CN105808938A/en
Publication of CN105808938A publication Critical patent/CN105808938A/en
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

The invention relates to an information exchange platform and an information exchange method thereof. Patient health data can be integrated and exchanged, and patient health information provided by medical equipment is received through a message proxy component and transmitted out directly or through an entity orchestration component after being processed through a connection core component, so that rapid, large-scale and safe sharing of health information such as personal health records and clinical data is realized, and great convenience is brought to personal health management.

Description

A kind of information exchange platform and information switching method thereof
Technical field
The application relates to a kind of information exchange platform and information switching method thereof, is undertaken integrating exchange by patient medical data particularly to one, it is achieved the platform of the Medical data sharings such as personal health archives, clinical data and method.
Background technology
At present, along with improving constantly of economic level, the people's increasingly attention to personal health problem, meanwhile, and the development such as electronic equipment, mobile terminal, promote to realize data sharing, the ability of quick obtaining information by electronic equipment.nullBut,The medical information that draws at Different hospital due to different individuals also differs,Owing to the equipment of different regions is different,The collection of personal health or clinical data is also not quite similar,The condition of different time sections also has certain difference,For various reasons,Individual cannot always under identical conditions such as identical hospital、Identical doctor or identical setting down check,Cause needing rechecking,Expend a large amount of financial resources and time,Simultaneously,Some inspection equipment itself possess Radiation On Human health and have impact,Such as Chest X-rays,Then,The examining report provided preserves and carries all inconvenient,In the urgent need to medical information is shared,Propelling along with IT application process,Realize individual at Different hospital、Different regions、The information sharing of the health account of different phase has been trend of the times,Individual can obtain all medical informations relevant to oneself in different regions,Provide safeguard for health in time.
Prior art has method or the equipment of some Medical data sharings, as patent application CN201310715060.7 discloses a kind of methods, devices and systems realizing Medical data sharing, medical data is carried out data uniform format by third party's medical system by it, it is mainly by the change of data form, it is impossible to realize sharing of medical information on a large scale accurately.
The present invention can provide multiple different interface, realizing multi-platform access, multi-platform data are realized uniform format, data are screened, to carry out large-scale medical data to share, meanwhile, it is capable to associate the information of other patients relevant to personal health, the convenient patient to same symptoms carries out treatment reference etc., data are being transmitted in process, data can also be carried out safety certification, it is prevented that medical data is stolen, it is possible to really realize data fast and safely share.
Summary of the invention
The invention aims to solve the defect that prior art exists, it is provided that the platform of the Medical data sharings such as a kind of extensive personal health archives, clinical data and method, form individual's medical electronics archives, it is achieved checking safely and fast of personal information.
In order to solve above-mentioned technical problem: the present invention proposes a kind of information exchange platform, including information transmission device, described information transmission device includes Message Agent assembly, connects core component, essence coupling unit, described information transmission device is for receiving, by described Message Agent assembly, the calibration-based hearing loss evaluation that armarium provides, these information are after described connection core component processes, direct or through described essence coupling unit to send out, it is achieved personal health archives, clinical data share.
Preferably, described Message Agent assembly includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one to any of the above-described embodiment.
Preferably, described essence coupling unit includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one to any of the above-described embodiment.
Preferably, described patient information searches module can when searching the information of given patient by connectivity port, it may be judged whether there is the available information of described given patient for any of the above-described embodiment.
Any of the above-described embodiment preferably, the described file polling module querying condition by compliant, remove to obtain inside other medical system a series of medical document of given patient.
Any of the above-described embodiment preferably, recall module and be associated with described file polling module by described file, and the medical information of given patient logical for file polling module is returned to patient's record.
Preferably, described health and fitness information condition message module initializes subscription message according to the specification of system definition to any of the above-described embodiment, by mating the distribution that subscribed content carries out notifying.
Preferably, described documents submission module is used for transmitting medical document to other mechanisms any of the above-described embodiment, and convenience file enquiry module is used for searching, or is supplied to the use of other medical systems, it is achieved data-pushing process.
Preferably, described documents submission module can also preserve data to system to any of the above-described embodiment.
Preferably, described transmission includes sending medical information or receiving medical information any of the above-described embodiment.
Preferably, described connection core component includes patient's correlation database module, audit library module, file cache module, connection management module, donations library module, UDDI more new management module, other functional modules to any of the above-described embodiment.
Preferably, other functional modules described can be extended any of the above-described embodiment according to functional requirement.
Any of the above-described embodiment is preferably, including document provider, described document provider connects third party's medical information system (EMR), medical data is carried out the data that conversion formation standard is unified, connect the medical information system of remaining tissue then through information transmission device, carry out the transmission of medical data.
Preferably, described document provider includes patient information management module to any of the above-described embodiment, for producing the health account number (HRID) globally unique identifier patient, for all the other systems.
Preferably, described document provider can increase the corresponding relation of patient this locality mark and health account number (HRID) to any of the above-described embodiment, and submits patient document to, completes document registration and preservation.
Preferably, including document user, described document user carries out patient search to any of the above-described embodiment, obtains patient individual's index information, obtains the identification code of relevant documentation according to patient individual's index information, obtains corresponding document by the identification code of document.
Any of the above-described embodiment is preferably, described information carrying means possesses api interface, described api interface includes internal interface (internalAPI) and proprietary interface (proprietaryAPI), and described api interface is used to communicate with existing medical information system.
Any of the above-described embodiment is preferably, described internal interface is the group interface communicated between described information transmission device and document provider, described proprietary interface encapsulation becomes the medical information system that a mechanism is existing, is used for by mechanism and Document Creator person carries out two-way communication.
A kind of method realizing information exchange, it utilizes at least one information transmission device, described information transmission device includes Message Agent assembly, connects core component, essence coupling unit, it is characterized in that: described information transmission device can receive, by described Message Agent assembly, the calibration-based hearing loss evaluation that armarium provides, this information is after described connection core component processes, direct or through described essence coupling unit to send out, it is achieved personal health archives, clinical data share.
Preferably, described Message Agent assembly includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one to any of the above-described embodiment.
Preferably, described essence coupling unit includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one to any of the above-described embodiment.
Preferably, described information transmission device includes data acquisition to any of the above-described embodiment, specifically includes following steps:
(1), patient information request is submitted to data source or server;
(2), the document identification number relevant to patient is obtained from data source or server;
(3), obtain the health account number of patient from health account number according to patient information in document identification number;
(4), patient's ID corresponding relation submit to patient's index management (MPI) of information transmission device, set up patient's ID cross-index relation;
(5), information transmission device according to the header of document identification number and health account number, build corresponding XDS data, form XDS document, recalls information switching plane the corresponding interface, submit to document register to information transmission device and store;
(6), submit inventory to according to file, send document arrival notice.
Preferably, described patient's ID corresponding relation includes in identity card, health account number (HRID) and other ID at least one any of the above-described embodiment.
Preferably, described information transmission device also includes communication, transmission, safety certification and document registration and the storage of being responsible between each node to any of the above-described embodiment.
Preferably, described safety certification includes arranging data check code any of the above-described embodiment, when data check code first time does not mate, carries out second time and mates certification, if second time is not also mated, then do not transmit data.
Preferably, described information transmission device is installed on one of hospital, community, school and other population collections ground to any of the above-described embodiment.
Any of the above-described embodiment preferably, described information transmission device receive gather data after, it is possible to it is processed, and described process comprises the steps:
(1), the patient data of the module integrated all data sources of patient's correlation database or server, form the document of consolidation form;
(2), other patient treatment procedure relevant to patient's current symptomatic are associated;
(3), audit library module above-mentioned document is screened, is examined, by this available data screening out, carry out buffer memory by file cache module;
(4), connect patient information reception's module by connection management module, carry out file transmission.
Any of the above-described embodiment preferably, also includes setting up patient by donations library module and donates the donations information of information and other donors;Carry out interface by UDDI more new management module and module updates.
Accompanying drawing explanation
Fig. 1 is the schematic diagram of a preferred embodiment of the information transmission device transmission data of the information exchange platform according to the present invention.
Fig. 2 is the schematic diagram of another embodiment of the information transmission device transmission data of the information exchange platform according to the present invention.
Fig. 3 is the region HIE based on the information exchange platform according to the present invention.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention is described in further detail; be necessary it is pointed out here that be; detailed description below is served only for the present invention is further detailed; it is not intended that limiting the scope of the invention, the present invention can be made some nonessential improvement and adjustment according to foregoing invention content by person skilled in art.
Information exchange platform+XADAPTER is area medical information switching plane (healthinformationexchange-HIE) solution developed by XBZC company, is that the core data in the region full name health and fitness information Logistics networks solution of XBZC company processes product.Information exchange platform+XADAPTER is based on the IHE standard of medical and health industry, it is achieved that the document exchange between each medical treatment & health mechanism is with shared.All of document sharing all meets HL7CDA standard, and shared procedure follows the relevant specification of IHE.
CONNECT is one and increases income, and is used for realizing the software of medical information exchange (healthinformationexchange-HIE) solution.Use CONNECT's in order that allow federal agency and remaining organization that their respective medical information system (such as PHR, EMR etc.) is met NHIN standard and service is attached and data exchange by using.The information exchange platform of the present invention is the large area medical software that our existing medical information system comprehensive is built on the basis of CONNECT3.0.
CONNECT achieves gateway (Gateway) flexibly, it is possible to make medical institutions be attached by its existing medical information system and NHIN, it is achieved personal health archives, clinical data the function such as share.
Obtaining in the process of NHIN message at Fig. 1, the NHINOrchestrationComponents of Gateway is ExternalAPI, after message is passed to this layer of Gateway by NHIN, then by the Gateway transmission in this arrangement layer message.
Send a message in the process of NHIN at Fig. 2, first Adapter sends a message to the EntityOrchestrationComponents of Gateway, Gateway arranges the execution process of message again at this layer, finally by MessageProxyComponents, message is sent to NHIN
The present invention proposes a kind of information exchange platform, including information transmission device, described information transmission device includes Message Agent assembly, connects core component, essence coupling unit, described information transmission device is for receiving, by described Message Agent assembly, the calibration-based hearing loss evaluation that armarium provides, these information are after described connection core component processes, direct or through described essence coupling unit to send out, it is achieved personal health archives, clinical data share.
Preferably, described Message Agent assembly includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one to any of the above-described embodiment.
Preferably, described essence coupling unit includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one to any of the above-described embodiment.
Patient information searches module PatientDiscovery service allows one on NHIN to set up mutually Patient identification between CONNECT and other CONNECT, CONNECT is when searching the information of given patient, it is possible to judge whether other CONNECT can exist the available information of this patient by this service.
File polling module QueryForDocument service provides the NHIE technology of the medical information that certain patient is located above at NHIN.This service allows the NHIE querying condition by compliant, removes to obtain inside other NHIE a series of document of given patient.This services whole process is receive from the NHIN inquiry request transmitted, and goes all the other NHIE on NHIN to position calibration-based hearing loss evaluation by this request.
File is recalled module RetrieveDocuments service and is obtained the technology of electron medical treatment information from NHIN.This service and QueryforDocuments service are associated, and QueryforDocuments provides the configuration information (metadata) returned to document, and RetrieveDocuments returns patient's record.This services whole process is receive from the NHIN request document message transmitted, and goes all the other NHIE on NHIN to position calibration-based hearing loss evaluation by this request.
Health and fitness information condition message module HealthInformationEventMessaging(HIEM), the specification of the system definition based on NHIN is initialized subscription message by NHIN by reference, then passes through the distribution that coupling subscribed content carries out notifying.
The function of documents submission module DocumentSubmission service: transmit document to other mechanisms, allows QueryforDocuments service for searching, or services for for him, it is achieved that the process of a propelling data.Servicing whole process is the process performing to submit to document from NHIN, is then saved in inside the system of reception, it is simple to send the document that these medical informations are relevant in NHIN.
Preferably, described patient information searches module can when searching the information of given patient by connectivity port, it may be judged whether there is the available information of described given patient for any of the above-described embodiment.
Any of the above-described embodiment preferably, the described file polling module querying condition by compliant, remove to obtain inside other medical system a series of medical document of given patient.
Any of the above-described embodiment preferably, recall module and be associated with described file polling module by described file, and the medical information of given patient logical for file polling module is returned to patient's record.
Preferably, described health and fitness information condition message module initializes subscription message according to the specification of system definition to any of the above-described embodiment, by mating the distribution that subscribed content carries out notifying.
Preferably, described documents submission module is used for transmitting medical document to other mechanisms any of the above-described embodiment, and convenience file enquiry module is used for searching, or is supplied to the use of other medical systems, it is achieved data-pushing process.
Preferably, described documents submission module can also preserve data to system to any of the above-described embodiment.
Preferably, described transmission includes sending medical information or receiving medical information any of the above-described embodiment.
Preferably, described connection core component includes patient's correlation database module, audit library module, file cache module, connection management module, donations library module, UDDI more new management module, other functional modules to any of the above-described embodiment.
Preferably, other functional modules described can be extended any of the above-described embodiment according to functional requirement.
Any of the above-described embodiment is preferably, including document provider, described document provider connects third party's medical information system (EMR), medical data is carried out the data that conversion formation standard is unified, connect the medical information system of remaining tissue then through information transmission device, carry out the transmission of medical data.
Preferably, described document provider includes patient information management module to any of the above-described embodiment, for producing the health account number (HRID) globally unique identifier patient, for all the other systems.
Preferably, described document provider can increase the corresponding relation of patient this locality mark and health account number (HRID) to any of the above-described embodiment, and submits patient document to, completes document registration and preservation.
Preferably, including document user, described document user carries out patient search to any of the above-described embodiment, obtains patient individual's index information, obtains the identification code of relevant documentation according to patient individual's index information, obtains corresponding document by the identification code of document.
Any of the above-described embodiment is preferably, described information carrying means possesses api interface, described api interface includes internal interface (internalAPI) and proprietary interface (proprietaryAPI), and described api interface is used to communicate with existing medical information system.Multiple interfaces is provided, to facilitate the access of different platform data, provides the carrying capacity of the distinct interface of system, it is ensured that system can quickly obtain medical information on a large scale simultaneously.User can also carry out Interface Expanding according to the later stage, to adapt to the development trend of electronic equipment.
Any of the above-described embodiment is preferably, described internal interface is the group interface communicated between described information transmission device and document provider, described proprietary interface encapsulation becomes the medical information system that a mechanism is existing, is used for by mechanism and Document Creator person carries out two-way communication.
A kind of method realizing information exchange, it utilizes at least one information transmission device, described information transmission device includes Message Agent assembly, connects core component, essence coupling unit, it is characterized in that: described information transmission device can receive, by described Message Agent assembly, the calibration-based hearing loss evaluation that armarium provides, this information is after described connection core component processes, direct or through described essence coupling unit to send out, it is achieved personal health archives, clinical data share.
Preferably, described Message Agent assembly includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one to any of the above-described embodiment.
Preferably, described essence coupling unit includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one to any of the above-described embodiment.
Preferably, described information transmission device includes data acquisition to any of the above-described embodiment, specifically includes following steps:
(1), patient information request is submitted to data source or server;
(2), the document identification number relevant to patient is obtained from data source or server;
(3), obtain the health account number of patient from health account number according to patient information in document identification number;
(4), patient's ID corresponding relation submit to patient's index management (MPI) of information transmission device, set up patient's ID cross-index relation;
(5), information transmission device according to the header of document identification number and health account number, build corresponding XDS data, form XDS document, recalls information switching plane the corresponding interface, submit to document register to information transmission device and store;
(6), submit inventory to according to file, send document arrival notice.
Preferably, described patient's ID corresponding relation includes in identity card, health account number (HRID) and other ID at least one any of the above-described embodiment.
Preferably, described information transmission device also includes communication, transmission, safety certification and document registration and the storage of being responsible between each node to any of the above-described embodiment.
Preferably, described safety certification includes arranging data check code any of the above-described embodiment, when data check code first time does not mate, carries out second time and mates certification, if second time is not also mated, then do not transmit data.By other checking information, the safety of data can also being managed, as when user logs in, it is possible to set face recognition registering and logging, voice verifies, and reduces and is logged in obtain the health and fitness information of individual by other people.
In carrying out data acquisition, the safe class of data is authenticated, it is prevented that have unprincipled fellow to pass through other back doors such as pseudo-base station and obtain the personal information of patient,
Preferably, described information transmission device is installed on one of hospital, community, school and other population collections ground to any of the above-described embodiment.
Any of the above-described embodiment preferably, described information transmission device receive gather data after, it is possible to it is processed, and described process comprises the steps:
(1), the patient data of the module integrated all data sources of patient's correlation database or server, form the document of consolidation form;
(2), other patient treatment procedure relevant to patient's current symptomatic are associated;
(3), audit library module above-mentioned document is screened, is examined, by this available data screening out, carry out buffer memory by file cache module;
(4), connect patient information reception's module by connection management module, carry out file transmission.
Any of the above-described embodiment preferably, also includes setting up patient by donations library module and donates the donations information of information and other donors;Carry out interface by UDDI more new management module and module updates.
Fig. 3 is based on the region HIE general frame of information exchange platform.Whole system includes following components:
(1) .XAdapter.Primary responsibility obtains document from Third party system, converts CDA document to, submits to information exchange platform with the situation of XDS and carries out registering and storing.Each independent POS can dispose an XAdapter.
(2). information exchange platform.It is responsible for the communication between each node, transmission, safety certification and document registration and storage.An information exchange platform can be disposed in each big POS front end, little POS(such as station, community etc.) then can share an information exchange platform.
(3). service centre.It is deployed in the more unique services in whole region, including Service Management, RLS, ISB, HRID, terminology management, doctor/organization management etc..
A) Service Management.Each information exchange platform node and the service provided are provided.
b)RLS.The personal information positioning service of PHR, it is provided that registration and the inquiry service to PHR.
C) ISB(exchange between grids bridge).It is responsible for the communication with other area information switching planes and information transmission.
d)HRID.It is responsible for inquiry and the generation of the unique HRID of individual.
E) terminology management.The functions such as dictionary registration, dictionary item mapping are provided.
F) doctor/organization management.Registration to region-wide health care provider and mechanism and management are provided.
(4) .EHR data center.Concentrate all EHR data preserving whole region, including ETL, EHR data base, medical information access layer (HIAL) etc..In the information exchange platform that the CDA document storing heart in the data is corresponding.
a)ETL.It is responsible for the parsing to CDA, extracts EHR information.
B) EHR data base.The structured database of EHR information.
C) HIAL(medical information access layer).It is responsible for providing the unified access interface to EHR information and control.
(5) .PHR(personal health archives).Contain outpatient service, be in hospital, assay, allergies, the individual such as medication information basic medical information.It is deployed in each information exchange platform front end.
The present invention realizes the quick of medical information, and on a large scale, sharing of safety, the health control for individual provides great convenience.

Claims (10)

1. an information exchange platform, including information transmission device, described information transmission device includes Message Agent assembly, connects core component, essence coupling unit, it is characterized in that: described information transmission device is for receiving, by described Message Agent assembly, the calibration-based hearing loss evaluation that armarium provides, these information are after described connection core component processes, direct or through described essence coupling unit to send out, it is achieved personal health archives, clinical data share.
2. information exchange platform according to claim 1, it is characterised in that: described Message Agent assembly includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one.
3. information exchange platform according to claim 1, it is characterised in that: described essence coupling unit includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one.
4. information according to claim 1 sends platform, it is characterised in that: described connection core component includes patient's correlation database module, audit library module, file cache module, connection management module, donations library module, UDDI more new management module, other functional modules.
5. information according to claim 1 sends platform, it is characterized in that: include document provider, described document provider connects third party's medical information system (EMR), medical data is carried out the data that conversion formation standard is unified, connect the medical information system of remaining tissue then through information transmission device, carry out the transmission of medical data.
6. information according to claim 1 sends platform, it is characterized in that: include document user, described document user carries out patient search, obtains patient individual's index information, obtain the identification code of relevant documentation according to patient individual's index information, obtain corresponding document by the identification code of document.
7. information according to claim 1 sends platform, it is characterized in that: described information carrying means possesses api interface, described api interface includes internal interface (internalAPI) and proprietary interface (proprietaryAPI), and described api interface is used to communicate with existing medical information system.
8. the method realizing information exchange, it utilizes at least one information transmission device, described information transmission device includes Message Agent assembly, connects core component, essence coupling unit, it is characterized in that: described information transmission device can receive, by described Message Agent assembly, the calibration-based hearing loss evaluation that armarium provides, this information is after described connection core component processes, direct or through described essence coupling unit to send out, it is achieved personal health archives, clinical data share.
9. the method realizing information exchange according to claim 8, it is characterised in that: described Message Agent assembly includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one.
10. the method realizing information exchange according to claim 8, it is characterised in that: described essence coupling unit includes that patient information searches module, file polling module, file are recalled in module, health and fitness information condition message module, documents submission module at least one.
CN201610123911.2A 2016-03-04 2016-03-04 Information exchange platform and information exchange method thereof Pending CN105808938A (en)

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