CN111370143A - Medical data integration platform processing system - Google Patents

Medical data integration platform processing system Download PDF

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Publication number
CN111370143A
CN111370143A CN202010221905.7A CN202010221905A CN111370143A CN 111370143 A CN111370143 A CN 111370143A CN 202010221905 A CN202010221905 A CN 202010221905A CN 111370143 A CN111370143 A CN 111370143A
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hospital
data
platform
data center
application
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CN202010221905.7A
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周校平
陈竹
陈银杰
章有智
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Wuhan Boke Guotai Information Technology Co ltd
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Wuhan Boke Guotai Information Technology Co ltd
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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
    • 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

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

Abstract

The application provides a medical data integration platform processing system, the system includes: the system comprises a hospital heterogeneous system, a hospital integrated platform, a data center, a registration service and an application layer; the hospital heterogeneous system is positioned at the bottom layer; the hospital integrated platform is positioned on the hospital heterogeneous system; the data center is positioned on the hospital integration platform; the application layer is positioned on the data center; the registration service is located between the application layer and the hospital heterogeneous system. The system provided by the application integrates medical equipment and the like in various departments in a hospital, specifically, data layer combination relates to data generated by the hospital heterogeneous system in the architecture, application layer integration relates to hospital heterogeneous systems in the architecture, main data management relates to integration of hospital heterogeneous systems in the architecture through an integration platform, and patient index relates to integration of patient information in hospital heterogeneous systems in the architecture through the integration platform.

Description

Medical data integration platform processing system
Technical Field
The invention relates to the technical field of medical data processing, in particular to a medical data integration platform processing system.
Background
In the information construction of the hospital, the construction is carried out in a gradual filling mode, and comprehensive overall management is lacked; in addition, because there are many departments in a hospital and the management is complex, the medical devices and software manufacturers of each department are different, and the clinical data interaction of each software is difficult, which is a root cause that the medical data island generally exists and the construction of a medical big data center is hindered.
Disclosure of Invention
In order to solve the above problem, an embodiment of the present application provides a medical data integration platform processing system, where the system includes: the system comprises a hospital heterogeneous system, a hospital integrated platform, a data center, a registration service and an application layer;
the hospital heterogeneous system is positioned at the bottom layer;
the hospital integration platform is located on the hospital heterogeneous system;
the data center is positioned on the hospital integration platform;
the application layer is positioned on the data center;
the registration service is located between the application layer and the hospital heterogeneous system.
Optionally, the hospital heterogeneous system includes: hospital information system HIS, electronic medical record EMR, laboratory information management system LIS, critical care management system ICU, intravenous drug configuration management system PIVAS and historian.
Optionally, the hospital integration platform comprises: subscription service, message service, single sign-on, integrated platform bus, adapter, intelligent routing, information conversion, process modeling, operation monitoring and master database management.
Optionally, the integrated platform bus is an enterprise service bus ESB;
and the integrated platform bus is used for service registration, forwarding and adaptation.
Optionally, the operation monitoring is used for establishing a hospital clinical data center CDR by data extraction, conversion and loading ETL and bus forwarding, and has an independent CDA document library.
Optionally, the data center includes: hospital operation data center ODR, CDR, hospital research data center RDR.
Optionally, the registration service includes: patient master index, personnel registration, institution registration.
Optionally, the application layer includes: intelligent analytics applications, clinical portal applications and areas;
the intelligent analysis application comprises: a hospital clinical research application platform, an operation aid decision system;
the clinical portal application includes: single sign-on, unified view of patient data and integration and visualization of hospital data;
the region comprises a region defense platform and a hospital body.
Optionally, the data center comprises: a data processing flow, an analysis result, an operation data storage ODS, an access interface and a data lake DataLake;
the data processing flow is respectively connected with the analysis result, the ODS and the DataLake in a communication way;
the ODS is in communication connection with the access interface;
the access interface is connected with an external application;
the ODS, the analysis result and the DataLake are respectively processed through a data processing interface;
directly storing the original data into DataLake;
and storing the original data to the ODS after data cleaning and conversion.
Optionally, the raw data comprises one or more of: TEL, CDC data of a Chinese disease prevention control center, message and WebService;
performing one or more of the following processes through the data processing interface: business intelligence BI, machine learning, natural language processing NLP;
the external application comprises one or more of the following: mobile application, real-time dashboard, hospital resource planning HRP.
The beneficial effects are as follows:
the system comprises: the system comprises a hospital heterogeneous system, a hospital integrated platform, a data center, a registration service and an application layer; the hospital heterogeneous system is positioned at the bottom layer; the hospital integrated platform is positioned on the hospital heterogeneous system; the data center is positioned on the hospital integration platform; the application layer is positioned on the data center; the registration service is located between the application layer and the hospital heterogeneous system. The system provided by the application integrates medical equipment and the like in various departments in a hospital, specifically, data layer combination relates to data generated by the hospital heterogeneous system in the architecture, application layer integration relates to hospital heterogeneous systems in the architecture, main data management relates to integration of hospital heterogeneous systems in the architecture through an integration platform, and patient index relates to integration of patient information in hospital heterogeneous systems in the architecture through the integration platform.
Drawings
Specific embodiments of the present application will be described below with reference to the accompanying drawings, in which:
fig. 1 is a schematic structural diagram illustrating a medical data integration platform processing system according to an embodiment of the present application;
fig. 2 is a schematic structural diagram of a data center provided in an embodiment of the present application;
fig. 3 shows a schematic diagram of a data governance process of a data center according to an embodiment of the present application.
Detailed Description
In the information construction of the hospital, the construction is carried out in a gradual filling mode, and comprehensive overall management is lacked; in addition, because there are many departments in a hospital and the management is complex, the medical devices and software manufacturers of each department are different, and the clinical data interaction of each software is difficult, which is a root cause that the medical data island generally exists and the construction of a medical big data center is hindered.
The application provides a medical data integration platform processing system, this system includes: the system comprises a hospital heterogeneous system, a hospital integrated platform, a data center, a registration service and an application layer.
The hospital heterogeneous system is located at the bottom layer.
The hospital integration platform is located on a hospital heterogeneous system.
The data center is located on the hospital integration platform.
The application layer is located on the data center.
The registration service is located between the application layer and the hospital heterogeneous system.
In particular implementation, the medical data integration platform processing system provided by the application can be as shown in fig. 1.
Wherein the content of the first and second substances,
1. the hospital heterogeneous system comprises: HIS (Hospital Information System), EMR (Electronic Medical Record), LIS (Laboratory Information System), ICU (Intensive Care Unit), PIVAS (pharmaceutical Intensive Services), and the like, and a history repository.
2. A hospital integration platform comprising: subscription service, message service, single sign-on, integrated platform bus, adapter, intelligent routing, information conversion, process modeling, operation monitoring and master database management.
The integrated platform Bus is an ESB (Enterprise Service Bus).
And the integrated platform bus is used for service registration, forwarding and adaptation.
And operation monitoring is used for establishing a CDR (hospital clinical data center) through ETL (Extraction-Transformation-Loading) and bus forwarding, and an independent CDA document library is provided.
The single sign-on adopts a standard Webservice interface protocol to perform identity security authentication and related data operation, and calls an external interface provided by the integration platform to acquire a user sign-on password and a password according to received user sign-on parameters, so that unified account management is realized, and the single sign-on of each application system is realized.
3. A data center, comprising: ODR (hospital operations data center), CDR, RDR (hospital research data center).
The data center includes: data processing flow, analysis result, ODS (Operational Data Store), access interface, DataLake.
Structure of data center referring to figure 2,
the data processing flow is respectively connected with the analysis result, ODS and DataLake in a communication way.
The ODS is communicatively coupled to the access interface.
The access interface connects to an external application.
ODS, analysis result, DataLake are processed through data processing interface respectively.
The raw data is directly stored in DataLake.
And storing the original data to the ODS after data cleaning and conversion.
Wherein the raw data comprises one or more of: TEL, chinese Disease Prevention Control center CDC (chinese Disease Control and preservation) data, message, web service WebService.
Performing one or more of the following processes through the data processing interface: BI (Business Intelligence), machine learning, NLP (Natural Language Processing).
The external application includes one or more of: mobile applications, real-time dashboard, HRP (Hospital resource planning).
The data governance process of the data center is shown in fig. 3 and comprises a source business system, standardization, data verification and data service.
The source business system is used for 1) unifying the patient master index; 2) the unique encounter record ID is associated with the patient encounter event; 3) checking the correspondence between the treatment and the medical advice; 4) constraining the association of the healthcare department supplemental orders with the source orders (examining bacterial cultures, pathology supplemental sections, etc.); 5) the source service system supplements missing information such as: positive reports, critical value reports, test equipment information, and the like.
The main index provides a unique patient identification of the whole hospital, the whole system exchange based on a platform, the automatic identification and combination of one person and multiple numbers, the automatic separation of combination errors, a humanized background operation interface, and extensible cross index query, and conforms to the IHE-PIX integration specification and HL7 standard.
Normalization is used to provide 1) a reference RIM model; 2) referencing a source system service scope; 3) carrying out standardized conversion; 4) standard data overlay, platform forwarding data, etc.
Data verification is used for 1) extracting original data to a data center; 2) data is checked according to weeks and months; 3) the problem is processed by the data center; 4) reducing the impact on the source business system.
Data services are used for 1) external data service access authorization; 2) monitoring data service; 3) based on data center application (scientific research mining, CDSS and the like) 4), the data center externally serves and reverses the data quality problem of the data center.
4. A registration service, comprising: patient master index, personnel registration, institution registration, etc.
5. An application layer comprising: intelligent analytics applications, clinical portal applications and areas, etc.
Intelligent analytics applications include: a hospital clinical research application platform, an operation aid decision system and the like.
Clinical portal applications include: single sign-on, unified view of patient data, integrated visualization of hospital data, and the like.
The region includes the district defense platform, the doctor body and the like.
The existing platform manages and maintains important registration information, terms, dictionaries and the like in a hospital as main data based on the unification of semantic levels of data exchange among systems of the hospital, and provides an open access interface and an update notification interface, so that the systems are maintained independently, point-to-point contrast is realized, the construction cost is extremely low, and the interaction cost is extremely high. The platform provided by the embodiment is used for centrally managing the maintenance and updating of personnel, departments and medical term dictionaries in hospitals, and lays a solid foundation for promoting the standard work of the universities, so that the generation/consumption modes of all systems can be uniformly managed, and the management cost is greatly reduced.
The platform provided by the present embodiment is provided with,
1. replanning
The construction of the integrated platform is a huge and complex project, enough attention must be paid to the whole platform and even the information planning of the whole hospital, the business processes of all systems are combed from the whole situation, the future is focused, the expandability between system interfaces is fully considered, and the sustainable development of the information-oriented work is ensured.
2. Heavy standard
Standardization is a basic guarantee for the construction of hospital information systems, and is a foundation for realizing interconnection and intercommunication in and among hospitals, and the construction of an application system can meet the requirements of interconnection, intercommunication and interoperation among different service systems or hospitals only by following a uniform technical standard in the aspects of service flow, a security system, a security technology, information representation, information exchange, a network protocol, a software structure, a software platform and other standards, so as to realize information exchange and resource sharing.
3. Duplicate data
On the premise of making a planning and tamping foundation, attention should be paid to data center construction based on an integrated platform, and the utilization rate of data is improved.
4. Heavy operation and maintenance
The integrated platform integrates all the service systems of the hospital, so the whole operation and maintenance capacity of the integrated platform needs to be emphasized
Has the advantages that:
the system comprises: supplier, hospital; the hospital includes: SPD central library, consumption points; the supplier distributes medical consumables to the SPD central library according to the hospital requirements; the SPD central library manages medical consumables and regularly pushes the medical consumables to consumption points; the consumption point feeds back the consumption information of the medical consumables to the SPD central library; and the SPD central library settles accounts with suppliers according to the consumption information. The system provided by the application associates the supplier with the hospital, so that the supplier and the hospital can share the consumption information of the medical consumables in time, and then supply is performed in time, and the supply efficiency is improved.

Claims (10)

1. A medical data integration platform processing system, the system comprising: the system comprises a hospital heterogeneous system, a hospital integrated platform, a data center, a registration service and an application layer;
the hospital heterogeneous system is positioned at the bottom layer;
the hospital integration platform is located on the hospital heterogeneous system;
the data center is positioned on the hospital integration platform;
the application layer is positioned on the data center;
the registration service is located between the application layer and the hospital heterogeneous system.
2. The system of claim 1, wherein the hospital heterogeneous system comprises: hospital information system HIS, electronic medical record EMR, laboratory information management system LIS, critical care management system ICU, intravenous drug configuration management system PIVAS and historian.
3. The system of claim 1, wherein the hospital integration platform comprises: subscription service, message service, single sign-on, integrated platform bus, adapter, intelligent routing, information conversion, process modeling, operation monitoring and master database management.
4. The system of claim 3, wherein the integrated platform bus is an Enterprise Service Bus (ESB);
and the integrated platform bus is used for service registration, forwarding and adaptation.
5. The system of claim 3, wherein the operation monitor is used to build hospital clinical data center CDRs through data extraction, transformation and loading ETLs and bus forwarding, with a separate CDA document repository.
6. The system of claim 1, wherein the data center comprises: hospital operation data center ODR, CDR, hospital research data center RDR.
7. The system of claim 1, wherein the registration service comprises: patient master index, personnel registration, institution registration.
8. The system of claim 1, wherein the application layer comprises: intelligent analytics applications, clinical portal applications and areas;
the intelligent analysis application comprises: a hospital clinical research application platform, an operation aid decision system;
the clinical portal application includes: single sign-on, unified view of patient data and integration and visualization of hospital data;
the region comprises a region defense platform and a hospital body.
9. The method of claim 1, wherein the data center comprises: a data processing flow, an analysis result, an operation data storage ODS, an access interface and a data lake DataLake;
the data processing flow is respectively connected with the analysis result, the ODS and the DataLake in a communication way;
the ODS is in communication connection with the access interface;
the access interface is connected with an external application;
the ODS, the analysis result and the DataLake are respectively processed through a data processing interface;
directly storing the original data into DataLake;
and storing the original data to the ODS after data cleaning and conversion.
10. The method of claim 1, wherein the raw data comprises one or more of: TEL, CDC data of a Chinese disease prevention control center, message and WebService;
performing one or more of the following processes through the data processing interface: business intelligence BI, machine learning, natural language processing NLP;
the external application comprises one or more of the following: mobile application, real-time dashboard, hospital resource planning HRP.
CN202010221905.7A 2020-03-26 2020-03-26 Medical data integration platform processing system Pending CN111370143A (en)

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CN112086150A (en) * 2020-07-31 2020-12-15 新视焰医疗科技(苏州)有限公司 Clinical research data integration platform
CN112768049A (en) * 2021-01-28 2021-05-07 山东众阳健康科技集团有限公司 State-based medical advice execution system construction method and system
CN116936019A (en) * 2023-08-07 2023-10-24 中世康恺科技有限公司 Medical information integration platform system

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112086150A (en) * 2020-07-31 2020-12-15 新视焰医疗科技(苏州)有限公司 Clinical research data integration platform
CN112768049A (en) * 2021-01-28 2021-05-07 山东众阳健康科技集团有限公司 State-based medical advice execution system construction method and system
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CN116936019A (en) * 2023-08-07 2023-10-24 中世康恺科技有限公司 Medical information integration platform system

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