CN110783000B - Cloud collaborative medical data system and application method thereof - Google Patents

Cloud collaborative medical data system and application method thereof Download PDF

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Publication number
CN110783000B
CN110783000B CN201911033527.3A CN201911033527A CN110783000B CN 110783000 B CN110783000 B CN 110783000B CN 201911033527 A CN201911033527 A CN 201911033527A CN 110783000 B CN110783000 B CN 110783000B
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doctor
patient
module
terminal
data
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CN110783000A (en
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胡耀
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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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
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F16/00Information retrieval; Database structures therefor; File system structures therefor
    • G06F16/10File systems; File servers
    • G06F16/17Details of further file system functions
    • G06F16/178Techniques for file synchronisation in file systems
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F16/00Information retrieval; Database structures therefor; File system structures therefor
    • G06F16/10File systems; File servers
    • G06F16/18File system types
    • G06F16/182Distributed file systems
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/30Authentication, i.e. establishing the identity or authorisation of security principals
    • G06F21/31User authentication
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60Protecting data
    • G06F21/602Providing cryptographic facilities or services
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60Protecting data
    • G06F21/62Protecting access to data via a platform, e.g. using keys or access control rules
    • G06F21/6218Protecting access to data via a platform, e.g. using keys or access control rules to a system of files or objects, e.g. local or distributed file system or database
    • G06F21/6245Protecting personal data, e.g. for financial or medical purposes
    • 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
    • G16H10/65ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L63/00Network architectures or network communication protocols for network security
    • H04L63/04Network architectures or network communication protocols for network security for providing a confidential data exchange among entities communicating through data packet networks
    • H04L63/0428Network architectures or network communication protocols for network security for providing a confidential data exchange among entities communicating through data packet networks wherein the data content is protected, e.g. by encrypting or encapsulating the payload
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L63/00Network architectures or network communication protocols for network security
    • H04L63/08Network architectures or network communication protocols for network security for authentication of entities
    • H04L63/0876Network architectures or network communication protocols for network security for authentication of entities based on the identity of the terminal or configuration, e.g. MAC address, hardware or software configuration or device fingerprint
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L63/00Network architectures or network communication protocols for network security
    • H04L63/10Network architectures or network communication protocols for network security for controlling access to devices or network resources
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00Network arrangements or protocols for supporting network services or applications
    • H04L67/01Protocols
    • H04L67/10Protocols in which an application is distributed across nodes in the network
    • H04L67/1097Protocols in which an application is distributed across nodes in the network for distributed storage of data in networks, e.g. transport arrangements for network file system [NFS], storage area networks [SAN] or network attached storage [NAS]
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L9/00Cryptographic mechanisms or cryptographic arrangements for secret or secure communications; Network security protocols
    • H04L9/06Cryptographic mechanisms or cryptographic arrangements for secret or secure communications; Network security protocols the encryption apparatus using shift registers or memories for block-wise or stream coding, e.g. DES systems or RC4; Hash functions; Pseudorandom sequence generators
    • H04L9/0643Hash functions, e.g. MD5, SHA, HMAC or f9 MAC

Abstract

The invention discloses a cloud collaborative medical data system and a use method thereof, wherein the cloud collaborative medical data system comprises an offline component, a cloud component, a sitting doctor terminal, a patient terminal and a family doctor terminal; the off-line component is solidified on the mobile storage medium and comprises an off-line database; the cloud assembly comprises a cloud database which is respectively connected with an authentication and authorization module, a data acquisition module and an early warning module, wherein the authentication and authorization module comprises a white list; the sitting doctor terminal comprises a data conversion module, a plug-in module and an encryption module, wherein the data conversion module is connected with the hospital information system, and the plug-in module is adapted to the mobile storage medium; the home doctor terminal is connected with the early warning module; the patient terminal comprises a diagnosis and treatment device and a patient application program, and the diagnosis and treatment device is connected with the data acquisition module. The invention ensures the automatic preservation of the historical visit data of the patient on the premise of the consent and authorization of the patient, and has the characteristics of high cloud backup and recovery, high safety and the like.

Description

Cloud collaborative medical data system and application method thereof
Technical Field
The invention relates to the field of data interaction systems, in particular to a cloud collaborative medical data system and a using method thereof.
Background
The medical database is mainly used for storing relevant personal basic information, medical advice information, inspection and detection information and the like of patients in hospitals. At present, a medical database is independently built in each hospital. In the medical treatment process, the patient can only take the paper medical treatment report with non-uniform format. The information mode for preserving the patient's medical treatment process is not only unfavorable for medical data resource scientific research sharing, has short preservation time, is inconvenient to carry and easy to lose, is unfavorable for protecting the privacy information of the patient and the follow-up tracking of the patient when inconvenient to see, and is also unfavorable for protecting the patient's privacy information and the follow-up tracking of the patient when inconvenient to see, on the other hand, many family doctors face the family doctor system advocated by China at present and have no relevant system tools to support them, and timely let them master the health and the information of the patient in charge.
Disclosure of Invention
The cloud collaborative medical data system provided by the invention has the characteristics of ensuring the automatic storage of the historical treatment data of the patient, checking at any time, backing up and recovering the cloud, being high in safety and the like on the premise that the patient agrees and authorizes the patient.
In order to achieve the above purpose, the invention is realized by adopting the following technical scheme:
the invention discloses a cloud collaborative medical data system, which comprises an offline component, a cloud component, a sitting doctor terminal, a patient terminal and a family doctor terminal;
the offline component is solidified on the mobile storage medium and comprises an offline database, wherein the offline database stores data files, configuration files, log files and image files;
the cloud assembly comprises a cloud database which is respectively connected with an authentication and authorization module, a data acquisition module and an early warning module, wherein the authentication and authorization module comprises a white list which is used for recording a family doctor terminal directory, and the authentication and authorization module is respectively connected with a doctor terminal, a patient terminal and a family doctor terminal;
the sitting doctor terminal comprises a data conversion module, a plug-in module and an encryption module, wherein the data conversion module is connected with the hospital information system, and the plug-in module is adapted to the mobile storage medium;
the home doctor terminal is connected with the early warning module and comprises a home doctor application program, and the home doctor application program is used for the home doctor to verify the identity, receive early warning information and check information in the cloud database after the patient is authorized;
the patient terminal comprises a diagnosis and treatment device and a patient application program, and the diagnosis and treatment device is connected with the data acquisition module.
Preferably, the data acquisition module comprises a dock container, and the dock container is loaded into the diagnosis and treatment device and the patient application program.
Preferably, the data file includes a patient base information table, a test detection information table, a follow-up information table, a pathology information table, a cost information table.
Preferably, the data files and the configuration files are distributed in different physical locations.
Preferably, the encryption module uses doctor ID, doctor password, patient ID, patient random code as an encryption basis.
The invention also discloses a use method of the cloud collaborative medical data system, which comprises the following steps:
a. the patient connects the mobile storage medium with the terminal of the sitting doctor;
b. c, inputting a doctor ID, a doctor password, a patient ID and a patient random code by a doctor sitting in a hospital at a doctor sitting terminal, encrypting the doctor sitting terminal, verifying the doctor sitting terminal with an authentication and authorization component module, and if the verification is successful, turning to the step c;
c. the authentication and authorization component sends a temporary authentication code to a terminal of a seated doctor, the seated doctor of the hospital diagnoses the patient, and diagnosis and treatment information is stored in a hospital information system;
d. the hospital information system, the cloud database and the offline database are used for data synchronization;
e. setting key data and an early warning threshold value by a sitting doctor of a hospital, and selecting a family doctor in a white list by a patient;
f. the early warning module monitors key data according to the setting in the step e;
g. when the key data reach the early warning threshold value, the early warning module sends early warning information to the family doctor terminal;
h. the doctor at the sitting position of the hospital closes the cloud database from the doctor at the sitting position, and the patient disconnects the mobile storage medium from the doctor at the sitting position.
Preferably, in step b, the encryption module encrypts the input character strings of the doctor ID, doctor password, patient ID, and patient random code with MD5, respectively.
Preferably, in step d, presetting a data structure, a data range, whether personal information is stored or not and whether the personal information is stored in a hospital information system or not in a patient side;
the patient selects whether to synchronize the diagnosis and treatment information to the cloud database.
Preferably, in step d, the data source of the cloud database further includes data collected by the data collection module through the diagnosis and treatment device and the patient application program.
Preferably, in step d, the list of family doctors in the white list is added through the patient end.
The invention has the beneficial effects that:
1. the safety is high: because the patient mobile medium is encrypted and stored, the doctor host and the cloud are both used in the intranet, and the diagnosis information of the patient is not stored in the doctor host, the patient treatment data can be accessed only after the authentication of specific application software, and the privacy information of the patient can be effectively protected. The personalized multi-layer encryption authentication mechanism greatly improves the cost and the technical difficulty of large-scale cracking of the patient database by an intruder.
2. Easy preservation: the portable mobile media is easier to store the complete historical data of multiple patient visits than a traditional paper diagnostic book.
3. Can prevent losing: and after the approval of the patient, the personal database information of the patient can be automatically backed up to the cloud, and when the user loses the mobile medium, the diagnosis and treatment data backed up before can be downloaded.
4. Is easy to carry: the portable medium is only tens of grams, and the portable medium is very convenient to carry.
5. Beneficial telemedicine and chronic management: and after the approval of the patient, a doctor can view the doctor information and follow-up records of the patient in real time from the cloud, so that the doctor can make a remote diagnosis decision and track the course of the patient.
6. Is beneficial to medical scientific research: patient portable databases all use a unified field format. If the patient agrees, the diagnosis and treatment data of the patient can be used for scientific research, and the data with the unified field format is favorable for cleaning and sorting the data of later-stage scientific research.
7. Personalized settings: the patient can set the disease types and the diagnosed data types to be stored in the database at the application end according to the selection of the patient.
Drawings
Fig. 1 is a schematic layout of the present invention.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings, in order to make the objects, technical solutions and advantages of the present invention more apparent.
As shown in fig. 1, the present invention mainly includes the following parts:
off-line component fixed on a removable storage medium: the encryption protection is mainly provided for the mobile storage medium by software and hardware. The mobile storage medium mainly stores: data files, control files, log files and CT and MRI image files of the database. The database table includes: patient base information table, test detection information table, follow-up information table, pathology information table, and cost information table.
Terminal of sitting doctor: the method mainly comprises a doctor client and a database parameter file, and is mainly used for a doctor to access a patient database through an application interface to check the history data of the patient and diagnose.
Patient terminal: the diagnosis and treatment device is connected with a data acquisition module and is mainly used for patients to manage own database data through the patient application program, and setting disease types and related data inclusion standards of a private database which needs to be automatically stored in each diagnosis.
Cloud component: the method is mainly used for patient information backup after authentication by patient authorization, and a family doctor designated by the patient checks follow-up data of the patient in real time.
Home doctor terminal: the family doctor terminal comprises a family doctor application program, and the family doctor application program is used for the family doctor to verify identity, receive early warning information and check information in the cloud database after the patient is authorized.
Encryption authentication mechanism: the user may select a default encryption scheme or set custom encryption authentication rules at the same time as the user client in the cloud, for example: the encryption authentication rule consists of three parts: user-defined encryption algorithm rule, user-defined password and user-defined password secondary calculation rule
The database access steps are as follows:
the mobile storage medium is inserted into the doctor's work computer.
The doctor opens the application and database access.
And after the patient authorization, the sitting doctor terminal calls the data file, the control file and the log file of the database of the mobile medium terminal through the local database parameter file, and starts the cloud database.
The doctor terminal calls the patient data in the cloud database, and the doctor can check the history visit record of the patient.
After the doctor diagnosis is completed, the formed new data diagnosis record is synchronized to the mobile medium end.
After the patient is authorized, the formed new visit record is synchronized to the cloud.
Closing the database, and pulling the mobile medium out of the doctor working host.
The patient can send the authorization file to the appointed family doctor cloud account, and the family doctor can see the follow-up record of the patient from the cloud in real time through the family doctor terminal.
When in actual use, the method comprises the following steps:
a. the patient connects the mobile storage medium with the terminal of the sitting doctor;
b. c, inputting a doctor ID, a doctor password, a patient ID and a patient random code by a doctor sitting in a hospital at a doctor sitting terminal, encrypting the doctor sitting terminal, verifying the doctor sitting terminal with an authentication and authorization component module, and if the verification is successful, turning to the step c;
c. the authentication and authorization component sends a temporary authentication code to a terminal of a seated doctor, the seated doctor of the hospital diagnoses the patient, and diagnosis and treatment information is stored in a hospital information system;
d. the hospital information system, the cloud database and the offline database are used for data synchronization;
e. setting key data and an early warning threshold value by a sitting doctor of a hospital, and selecting a family doctor in a white list by a patient;
f. the early warning module monitors key data according to the setting in the step e;
g. when the key data reach the early warning threshold value, the early warning module sends early warning information to the family doctor terminal;
h. the doctor sitting in the hospital uses the terminal cloud database of the doctor sitting in the hospital, the patient closes the connection disconnecting the mobile storage medium from the terminal of the seated doctor.
In step b, the encryption module encrypts the input character strings of doctor ID, doctor password, patient ID and patient random code by MD5 respectively.
In the step d, presetting a data structure and a data range stored in a database at a patient end, and storing personal information or storing the personal information or the hospital information system;
the patient selects whether to synchronize the diagnosis and treatment information to the cloud database.
In step d, the data sources of the cloud database further include data collected by the data collection module through the diagnosis and treatment device and the patient application program.
In step d, the family doctor list in the white list is added through the patient end.
Of course, the present invention is capable of other various embodiments and its several details are capable of modification and variation in light of the present invention by one skilled in the art without departing from the spirit and scope of the invention as defined in the appended claims.

Claims (9)

1. The utility model provides a high in clouds collaborative medical data system which characterized in that: the system comprises an offline component, a cloud component, a sitting doctor terminal, a patient terminal and a family doctor terminal;
the offline component is solidified on the mobile storage medium and comprises an offline database, wherein the offline database stores data files, configuration files, log files and image files;
the cloud assembly comprises a cloud database which is respectively connected with an authentication and authorization module, a data acquisition module and an early warning module, wherein the authentication and authorization module comprises a white list which is used for recording a family doctor terminal directory, and the authentication and authorization module is respectively connected with a doctor terminal, a patient terminal and a family doctor terminal;
the sitting doctor terminal comprises a data conversion module, a plug-in module and an encryption module, wherein the data conversion module is connected with the hospital information system, and the plug-in module is adapted to the mobile storage medium;
the home doctor terminal is connected with the early warning module and comprises a home doctor application program;
the patient terminal comprises a diagnosis and treatment device and a patient application program, and the diagnosis and treatment device is connected with the data acquisition module;
the using method comprises the following steps:
a. the patient connects the mobile storage medium with the terminal of the sitting doctor;
b. c, inputting a doctor ID, a doctor password, a patient ID and a patient random code by a doctor sitting in a hospital at a doctor sitting terminal, encrypting the doctor sitting terminal, verifying the doctor sitting terminal with an authentication and authorization module, and if the verification is successful, turning to the step c;
c. the authentication and authorization module sends a temporary authentication code to a terminal of a seated doctor, the seated doctor of the hospital diagnoses the patient, and diagnosis and treatment information is stored in a hospital information system;
d. the hospital information system, the cloud database and the offline database are used for data synchronization;
e. setting key data and an early warning threshold value by a sitting doctor of a hospital, and selecting a family doctor in a white list by a patient;
f. the early warning module monitors key data according to the setting in the step e;
g. when the key data reach the early warning threshold value, the early warning module sends early warning information to the family doctor terminal;
h. the doctor at the sitting position of the hospital closes the cloud database from the doctor at the sitting position, and the patient disconnects the mobile storage medium from the doctor at the sitting position.
2. The cloud collaborative medical data system of claim 1, wherein: the data acquisition module comprises a dock container, and the dock container is loaded into the diagnosis and treatment device and the patient application program.
3. The cloud collaborative medical data system of claim 1, wherein: the data file comprises a patient basic information table, a test detection information table, a follow-up information table, a pathology information table and a cost information table.
4. The cloud collaborative medical data system of claim 1, wherein: the data files and the configuration files are distributed in different physical positions.
5. The cloud collaborative medical data system of claim 1, wherein: the encryption module takes doctor ID, doctor password, patient ID and patient random code as encryption basis.
6. The cloud collaborative medical data system of claim 1, wherein: in step b, the encryption module encrypts the input character strings of doctor ID, doctor password, patient ID and patient random code by MD5 respectively.
7. The cloud collaborative medical data system of claim 1, wherein: in the step d, presetting a data structure and a data range stored in a database at a patient terminal, and storing personal information or storing the personal information or the hospital information system;
the patient selects whether to synchronize the diagnosis and treatment information to the cloud database.
8. The cloud collaborative medical data system of claim 1, wherein: in step d, the data sources of the cloud database further include data collected by the data collection module through the diagnosis and treatment device and the patient application program.
9. The cloud collaborative medical data system of claim 1, wherein: in step e, a list of family doctors in the white list is added through the patient terminal.
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