CN112768047A - Hospital information integrated management platform construction method and system based on business middling stage - Google Patents
Hospital information integrated management platform construction method and system based on business middling stage Download PDFInfo
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Abstract
The scheme is based on the core thought of an integrated model, an integrated data model is constructed on the basis of data integration, the specific embodiment of the integration of the service middlings is realized, and the interconnection and the intercommunication of data are realized by adopting the design concept of the integrated service middlings; and closed-loop process management is adopted, so that full-process closed-loop management of resident health from filing to closing, patient admission to discharge, execution of medical advice from starting to standing, charge from occurrence to settlement and the like is realized, and the medical quality and the whole-process controllability of resource management are ensured.
Description
Technical Field
The disclosure belongs to the technical field of electronic information, and particularly relates to a hospital information integrated management platform construction method and system based on a business middle desk.
Background
The statements in this section merely provide background information related to the present disclosure and may not necessarily constitute prior art.
The information-based construction of hospitals is a difficult problem of medical structures in China, and the existing method has an interface mode, an integration mode, a large HIS mode and an integration mode. The inventor finds that the integrated mode is a hospital internal information construction mode which is low in cost and quick in effect, but when the integrated mode is applied to business collaboration among medical institutions, the integrated mode has the problems of great difficulty and poor effect, and the collaborative processing of data among businesses cannot be accurately realized.
Disclosure of Invention
In order to solve the above problems, the present disclosure provides a hospital information integration management platform construction method and system based on a business middle desk, which implement high interconnection and intercommunication of information among medical institutions by constructing integration data and business models and taking patients as cores.
According to a first aspect of the embodiments of the present disclosure, a method for constructing a hospital information integrated management platform based on a business middle platform is provided, which includes:
unifying patient indexes, institution departments, hospital personnel, core dictionaries, services and hospital resources among different medical institutions to construct a basic service dictionary;
establishing a data center taking a patient as a core based on the basic service dictionary;
establishing an integrated service middle station, uniformly butting different applications of a front end by using the integrated service middle station, and simultaneously uniformly packaging all subsystems of a background;
the medical institution business is hierarchically divided into a patient service layer, a service capability layer and a basic business layer through the integrated business middle platform, and the patient service layer is used as the uppermost layer of the business middle platform and directly faces to the front end application of the patient service;
the construction of a medical information integrated management platform is realized by adopting the design of an integrated service center platform, and the resource sharing among medical institutions is realized.
Furthermore, in the process of unifying patient indexes, the patients registered by the unified cloud HIS establish a unique patient main index, the registration entries of the patients are unified, and the uniqueness of the patient information is realized in business;
in the process of unifying departments of the organization, the organization and the departments in the service platform are established, and the development of the service is associated in different organizations, so that the basis of service cooperation is realized;
in the process of unifying hospital staff, a unified main index of the hospital staff is established.
Furthermore, in the process of unifying the core dictionaries, the core dictionaries used by the unification mechanism establish a unified standard dictionary library in the business center, different medical institutions quote the required dictionaries according to requirements, and meanwhile, the variable personalized attributes of part of the dictionaries are adjusted.
Furthermore, in the process of unifying hospital resources, a unified resource index is established, resource channels are opened among different institutions, and a unified resource center is established.
Furthermore, in the process of unified service, the service dictionary is unified, and based on a unified mechanism, the dictionary and personnel, the medical service is unified, so that medical cooperation among medical mechanisms is facilitated.
Further, the construction of the medical information integrated management platform further comprises the construction of a service registration management center, and the specific process is as follows:
establishing a service registration management center by using a service center;
abstracting medical institution capacity and basic business capacity into service modules, and registering the service modules in a service registration management center;
and the service registration management center performs access limitation and security verification on the capability service of the service center.
Further, the construction of the medical information integrated management platform further comprises construction of an application based on a service center, and the specific process is as follows:
the resource standard of the medical field is predefined in the service center, and the external application is opened through an API (application programming interface);
the development of the external application only needs to utilize the corresponding API interface for development, and the resource sharing can be realized in the medical institution.
According to a second aspect of the embodiments of the present disclosure, a hospital information integration management platform construction system based on a business middle platform is provided, including:
the basic service dictionary building module is used for unifying patient indexes, department of institutions, hospital personnel, core dictionaries, services and hospital resources among different medical institutions and building a basic service dictionary;
a data center construction module for establishing a patient-centric data center based on the basic service dictionary;
the service middle station building module is used for building an integrated service middle station, uniformly butting different applications of a front end by using the integrated service middle station, and simultaneously uniformly packaging all subsystems of a background;
the business layering module is used for hierarchically dividing medical institution business into a patient service layer, a service capability layer and a basic business layer through the integrated business middle platform, taking the patient service layer as the uppermost layer of the business middle platform and directly applying the patient service layer to the front end of the patient service;
and the platform construction module is used for realizing construction of the medical information integrated management platform by adopting the design of the integrated service middle desk and realizing resource sharing among medical institutions.
According to a third aspect of the embodiments of the present disclosure, there is provided a computer-readable storage medium, on which a computer program is stored, which when executed by a processor, implements a method for constructing a hospital information integrated management platform based on a business staging.
According to a fourth aspect of the embodiments of the present disclosure, there is provided a computer device, including a memory, a processor, and a computer program stored on the memory and executable on the processor, where the processor implements a hospital information integration management platform construction method based on a business middlebox when executing the program.
Compared with the prior art, the beneficial effect of this disclosure is:
(1) according to the scheme, the data center taking the patient as the core is established, a plurality of main indexes such as the flow, the medical advice, the diagnosis and the like are established around the patient and serve as the central line of all medical data, so that the required data can be retrieved conveniently, and meanwhile, a data set which meets the national standard can be formed quickly. The data of the patient in each link of the hospital can be collected into the data center in real time according to the main lines represented by each main index through data integration, and the high interconnection and intercommunication of hospital information is realized through the high sharing of the data.
(2) The scheme adopts an integrated service center design concept, product data such as HIS, EMR, LIS, PACS and the like are shared in real time, and service interconnection and intercommunication are realized: doctors can see the electronic medical records, examination and inspection results and reports at an outpatient doctor station to realize interconnection and intercommunication of data; the closed-loop process management is adopted, so that the full-process closed-loop management of resident health from filing to closing, patient admission to discharge, execution of medical advice from starting to standing, charge from occurrence to settlement and the like is realized, and the medical quality and the whole-process controllability of resource management are ensured; the integrated operation page is convenient for operators to complete all operations, the medical link is transparent by closed-loop medical advice, tracking of medical services is achieved, data reporting is based, the hospital information manpower and material resource investment is reduced, and meanwhile comprehensive supervision is provided for medical managers.
(3) The scheme disclosed by the invention fully considers the operation habits and the working environment of clinical front-line personnel, adopts a humanized human-computer interaction design, and achieves the effect that the interface operation is not switched and is finished at one go; the system initialization data only needs to be configured once, medical workers can complete all the operations of the medical health information system application through one account, the medical health information system establishes a unique search for the patients who see a doctor, and the medical data generated by the patients in the hospital is used in a cross-time, cross-hospital and cross-region mode, so that the medical data of the patients form a living medical record library.
Advantages of additional aspects of the disclosure will be set forth in part in the description which follows, and in part will be obvious from the description, or may be learned by practice of the disclosure.
Drawings
The accompanying drawings, which are included to provide a further understanding of the disclosure, illustrate embodiments of the disclosure and together with the description serve to explain the disclosure and are not to limit the disclosure.
Fig. 1 is a schematic structural diagram of a uniform resource center according to a first embodiment of the present disclosure;
fig. 2 is a schematic structural diagram of a service center station according to a first embodiment of the present disclosure;
fig. 3 is a schematic diagram of a configuration of a middle-based application according to a first embodiment of the present disclosure.
Detailed Description
The present disclosure is further described with reference to the following drawings and examples.
It should be noted that the following detailed description is exemplary and is intended to provide further explanation of the disclosure. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs.
It is noted that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of example embodiments according to the present disclosure. As used herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, and it should be understood that when the terms "comprises" and/or "comprising" are used in this specification, they specify the presence of stated features, steps, operations, devices, components, and/or combinations thereof, unless the context clearly indicates otherwise.
The embodiments and features of the embodiments in the present disclosure may be combined with each other without conflict. The first embodiment is as follows:
the embodiment aims to provide a hospital information integrated management platform construction method based on a business middle desk.
A hospital information integrated management platform construction method based on a business middle platform comprises the following steps:
unifying patient indexes, institution departments, hospital personnel, core dictionaries, services and hospital resources among different medical institutions to construct a basic service dictionary;
establishing a data center taking a patient as a core based on the basic service dictionary;
establishing an integrated service middle station, uniformly butting different applications of a front end by using the integrated service middle station, and simultaneously uniformly packaging all subsystems of a background;
the medical institution business is hierarchically divided into a patient service layer, a service capability layer and a basic business layer through the integrated business middle platform, and the patient service layer is used as the uppermost layer of the business middle platform and directly faces to the front end application of the patient service;
the construction of a medical information integrated management platform is realized by adopting the design of an integrated service center platform, and the resource sharing among medical institutions is realized.
Specifically, for ease of understanding, the following detailed description of the embodiments of the present disclosure:
wherein, unify patient index, institution's department, hospital personnel, core dictionary, service and hospital resource between the different medical institutions, construct basic service dictionary, specifically include:
department of unified organization: the establishment and the department established in the service platform can correlate the development of the service in different organizations, thereby realizing the basis of service collaboration.
Unifying hospital personnel: the unified main index of the hospital staff is established, the information association of the hospital staff can be realized when the hospital staff works in different institutions, and an important data basis is finally provided for the fine personnel management of the hospital.
Unifying the core dictionary: the core dictionary used by the unified mechanism and the standard dictionary library established in the service center station can be used by each mechanism according to the self requirement to refer to the required dictionary, and meanwhile, the variable personalized attributes of part of the dictionaries can be adjusted.
Unified service: the unified service dictionary is based on the unified mechanism, dictionary and personnel described above, so that medical service unification can be realized, and medical cooperation among medical mechanisms is facilitated.
The patient indexes are unified, the unique main index of the patient can be established by the patient registered by the cloud HIS, the registration entries of the patient are unified, and the uniqueness of the patient information is directly realized from the business.
The method has the advantages that the resources are unified, the unified resource indexes are established for the resources such as medicines, materials and equipment in hospitals, resource channels can be opened among different mechanisms, and a unified resource center is established.
Further, the integrated service center station specifically includes:
1) integrated framework of business middle desk
The business center platform is established by abstracting clinical, management, health and other businesses related to medical institutions according to a scientific method. The structure of the service center station is as shown in the figure:
the service center station divides the service into three layers: a basic business layer, a service capability layer and a patient service layer.
Basic service layer: according to the thought method of field-driven design and object-oriented design, basic services for supporting the operation of medical institution services are divided and abstracted into a patient service center, a resource service center, a permission management center, a charge settlement center, a configuration center, a dictionary service center, basic services and rule services.
Service capability layer: the ability of a hospital to serve patients is the core of medical business, and a business center abstracts the service ability related to the hospital to form a closed loop for serving the ability of the hospital and driving the service of the hospital to the patients through a service center. For example, the examination process of an outpatient can be understood as that a patient goes to a hospital to see a doctor as one-time outpatient service, a doctor gives an examination request form to the patient as one-time service form, and the service form enters an execution system after being processed by an execution unit of the system. Through the management and control of the execution system of the system, according to the registration of the service, the system can find the checked capacity unit to complete the checking process, and the checked capacity unit completes the checking process of the organization according to the requirement of the execution list and the service registration step until the report is issued. In the process, the execution system keeps track of the progress of the execution list and publishes the messages of the intermediate key steps, and other applications can subscribe related messages to complete the closed loop of the service.
The service capability layer has two main parts: the service list executes the single module and the capability service module. The former mainly manages a closed-loop management system of service lists such as application, audit, execution, feedback and the like of the core services of the hospital, and the latter mainly realizes the service capacity of each executive department of the hospital and is used for supporting the execution services of main service lists such as medical advice of the hospital.
A patient service layer: the patient service layer mainly realizes the support of main hospital services, such as an outpatient and emergency service process, a hospitalization service process, a hospital integrated service process, an internet hospital process, a registration process, a medical insurance process and the like. The uppermost layer of the test business middle platform directly faces to the patient service process of the hospital, so that the customization and business precipitation of the hospital process are realized, and the personalized customization and the custom development of the rules are realized through the configuration of the department-level business process. The business process construction of all mainstream medical institutions can be realized.
2) Design method of service registration management center
The service center establishes a service registration management center, firstly abstracts medical institution capability, basic service capability and the like into service modules, and registers the service modules in the service registration management center. The management center is responsible for managing the access restriction, safety verification and the like of the center capability service, and is convenient for various applications of the front desk, such as outpatient doctor stations, EMR, LIS and the like, to safely and conveniently use the center capability service module.
3) Application construction method based on middle platform
The service center defines various resource standards in the medical field, such as patients, medical orders, examinations, images, operations, electrocardiograms and the like, and opens the resources to various applications through an API form. The application can conveniently construct the application app as long as the application meets standard API, the size of the application is as large as a business process, and the size of the application is as small as one report and one template, so that resource sharing is realized in a medical institution.
Further, the scheme of the present disclosure is based on the core idea of the integrated model:
1) based on data integration
The data integration is to establish a data center with a patient as a core, establish a plurality of main indexes such as a flow, medical orders, diagnosis and the like around the patient, serve as central lines of all medical data, can retrieve required data in an aspect manner, and can quickly form a data set meeting national standards. The data of the patient in each link of the hospital can be collected into the data center in real time according to the main lines represented by each main index through data integration, and the high interconnection and intercommunication of hospital information is realized through the high sharing of the data.
2) Embodiment integrating service middleboxes
By adopting the design concept of the integrated service center station, product data such as HIS, EMR, LIS, PACS and the like are shared in real time, and the services are interconnected and intercommunicated: doctors can see the electronic medical records, examination and inspection results and reports at an outpatient doctor station to realize interconnection and intercommunication of data;
the closed-loop process management is adopted, so that the full-process closed-loop management of resident health from filing to closing, patient admission to discharge, execution of medical advice from starting to standing, charge from occurrence to settlement and the like is realized, and the medical quality and the whole-process controllability of resource management are ensured;
the integrated operation page is convenient for operators to complete all operations, the medical link is transparent by closed-loop medical advice, tracking of medical services is achieved, data reporting is based, the hospital information manpower and material resource investment is reduced, and meanwhile comprehensive supervision is provided for medical managers.
The humanized man-machine interaction design fully considers the operation habits and the working environment of clinical front-line personnel, and the interface operation is not switched and is finished at one go;
the system initialization data only needs to be configured once, medical workers can complete all the operations of the medical health information system application through one account, the medical health information system establishes a unique search for the patients who see a doctor, and the medical data generated by the patients in the hospital is used in a cross-time, cross-hospital and cross-region mode, so that the medical data of the patients form a living medical record library.
3) Advantages of the Integrated construction application
Agile business requirements change rapidly, changes are calculated with a frequency of days or even shorter, and a single large-scale application and a huge development team change a single application become more and more difficult. The large application is changed into a plurality of small application combinations, so that the external quick change can be adapted, and the agility of the service is realized.
Decoupling as services evolve, interactions between service systems often become more complex. Modification of a function may affect many aspects. Only the functions needing a large amount of interaction are independent and are disassembled from the application, so that the coupling degree between the applications is greatly reduced.
The multiplexing capability of some public systems greatly improves the development efficiency and avoids repeated construction. While allowing data and processes to be centrally managed and optimized.
Example two:
the embodiment aims at a hospital information integrated management platform construction system based on a business middle desk.
Hospital information integrated management platform construction system based on business middle desk comprises:
the basic service dictionary building module is used for unifying patient indexes, department of institutions, hospital personnel, core dictionaries, services and hospital resources among different medical institutions and building a basic service dictionary;
a data center construction module for establishing a patient-centric data center based on the basic service dictionary;
the service middle station building module is used for building an integrated service middle station, uniformly butting different applications of a front end by using the integrated service middle station, and simultaneously uniformly packaging all subsystems of a background;
the business layering module is used for hierarchically dividing medical institution business into a patient service layer, a service capability layer and a basic business layer through the integrated business middle platform, taking the patient service layer as the uppermost layer of the business middle platform and directly applying the patient service layer to the front end of the patient service;
and the platform construction module is used for realizing construction of the medical information integrated management platform by adopting the design of the integrated service middle desk and realizing resource sharing among medical institutions.
In further embodiments, there is also provided:
an electronic device comprising a memory and a processor, and computer instructions stored on the memory and executed on the processor, the computer instructions when executed by the processor performing the method of embodiment one. For brevity, no further description is provided herein.
It should be understood that in this embodiment, the processor may be a central processing unit CPU, and the processor may also be other general purpose processors, digital signal processors DSP, application specific integrated circuits ASIC, off-the-shelf programmable gate arrays FPGA or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, and so on. A general purpose processor may be a microprocessor or the processor may be any conventional processor or the like.
The memory may include both read-only memory and random access memory, and may provide instructions and data to the processor, and a portion of the memory may also include non-volatile random access memory. For example, the memory may also store device type information.
A computer readable storage medium storing computer instructions which, when executed by a processor, perform the method of embodiment one.
The method in the first embodiment may be directly implemented by a hardware processor, or may be implemented by a combination of hardware and software modules in the processor. The software modules may be located in ram, flash, rom, prom, or eprom, registers, among other storage media as is well known in the art. The storage medium is located in a memory, and a processor reads information in the memory and completes the steps of the method in combination with hardware of the processor. To avoid repetition, it is not described in detail here.
Those of ordinary skill in the art will appreciate that the various illustrative elements, i.e., algorithm steps, described in connection with the embodiments disclosed herein may be implemented as electronic hardware or combinations of computer software and electronic hardware. Whether such functionality is implemented as hardware or software depends upon the particular application and design constraints imposed on the implementation. Skilled artisans may implement the described functionality in varying ways for each particular application, but such implementation decisions should not be interpreted as causing a departure from the scope of the present application.
The embodiment provides the realization of the hospital information integrated management platform construction method and system based on the business middle desk, and has wide application prospect.
The above description is only a preferred embodiment of the present disclosure and is not intended to limit the present disclosure, and various modifications and changes may be made to the present disclosure by those skilled in the art. Any modification, equivalent replacement, improvement and the like made within the spirit and principle of the present disclosure should be included in the protection scope of the present disclosure.
Although the present disclosure has been described with reference to specific embodiments, it should be understood that the scope of the present disclosure is not limited thereto, and those skilled in the art will appreciate that various modifications and changes can be made without departing from the spirit and scope of the present disclosure.
Claims (10)
1. A hospital information integrated management platform construction method based on a business middle platform is characterized by comprising the following steps:
unifying patient indexes, institution departments, hospital personnel, core dictionaries, services and hospital resources among different medical institutions to construct a basic service dictionary;
establishing a data center taking a patient as a core based on the basic service dictionary;
establishing an integrated service middle station, uniformly butting different applications of a front end by using the integrated service middle station, and simultaneously uniformly packaging all subsystems of a background;
the medical institution business is hierarchically divided into a patient service layer, a service capability layer and a basic business layer through the integrated business middle platform, and the patient service layer is used as the uppermost layer of the business middle platform and directly faces to the front end application of the patient service;
the construction of a medical information integrated management platform is realized by adopting the design of an integrated service center platform, and the resource sharing among medical institutions is realized.
2. The method for constructing the hospital information integrated management platform based on the business middle desk according to claim 1, wherein in the process of unifying patient indexes, the patients registered by the unified cloud HIS establish a patient unique main index, the registration entries of the patients are unified, and the uniqueness of the patient information is directly realized from the business;
in the process of unifying departments of the organization, the organization and the departments in the service platform are established, and the development of the service is associated in different organizations, so that the basis of service cooperation is realized;
in the process of unifying hospital staff, a unified main index of the hospital staff is established.
3. The method for constructing hospital information integrated management platform based on business middle desk as claimed in claim 1, wherein in the process of unifying the core dictionaries, the core dictionaries used by the unification mechanism are used, a unified standard dictionary library is established in the business middle desk, different medical institutions refer to the required dictionaries according to requirements, and simultaneously, the variable personalized attributes of part of the dictionaries are adjusted.
4. The method for constructing the hospital information integrated management platform based on the business middlebox as claimed in claim 1, wherein in the process of unifying hospital resources, a unified resource index is established, resource channels are opened among different organizations, and a unified resource center is established.
5. The method for constructing the hospital information integrated management platform based on the business middlebox as claimed in claim 1, wherein in the process of unifying services, the service dictionary is unified, and medical services are unified based on a unified organization, the dictionary and personnel, so that medical cooperation among medical organizations is facilitated.
6. The method for constructing a hospital information integrated management platform based on a business middlebox as claimed in claim 1, wherein the construction of the medical information integrated management platform further comprises the construction of a service registration management center, and the specific process is as follows:
establishing a service registration management center by using a service center;
abstracting medical institution capacity and basic business capacity into service modules, and registering the service modules in a service registration management center;
and the service registration management center performs access limitation and security verification on the capability service of the service center.
7. The method for constructing the hospital information integrated management platform based on the service center as claimed in claim 1, wherein the construction of the medical information integrated management platform further comprises construction of an application based on the service center, and the specific process is as follows:
the resource standard of the medical field is predefined in the service center, and the external application is opened through an API (application programming interface);
the development of the external application only needs to utilize the corresponding API interface for development, and the resource sharing can be realized in the medical institution.
8. Hospital information integration management platform construction system based on business middle desk, which is characterized by comprising:
the basic service dictionary building module is used for unifying patient indexes, department of institutions, hospital personnel, core dictionaries, services and hospital resources among different medical institutions and building a basic service dictionary;
a data center construction module for establishing a patient-centric data center based on the basic service dictionary;
the service middle station building module is used for building an integrated service middle station, uniformly butting different applications of a front end by using the integrated service middle station, and simultaneously uniformly packaging all subsystems of a background;
the business layering module is used for hierarchically dividing medical institution business into a patient service layer, a service capability layer and a basic business layer through the integrated business middle platform, taking the patient service layer as the uppermost layer of the business middle platform and directly applying the patient service layer to the front end of the patient service;
and the platform construction module is used for realizing construction of the medical information integrated management platform by adopting the design of the integrated service middle desk and realizing resource sharing among medical institutions.
9. A computer-readable storage medium on which a computer program is stored, wherein the program, when executed by a processor, implements the method for constructing a service-desk-based hospital information integrated management platform according to any one of claims 1 to 7.
10. A computer device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, wherein the processor implements the method for constructing a service-based hospital information integrated management platform according to any one of claims 1 to 7 when executing the program.
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| CN116192400A (en) * | 2023-01-31 | 2023-05-30 | 百洋智能科技集团股份有限公司 | Mobile center station system supporting HCCM service |
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| CN111584056A (en) * | 2020-05-07 | 2020-08-25 | 贵州省邮电规划设计院有限公司 | Medical and nursing integrated platform system |
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