Smart healthcare consists of three parts: a smart hospital system, a regional health system, and a family health system.
Architecture diagram of intelligent medical program
1. Intelligent hospital system, which consists of two parts: digital hospital and enhancement application.
Digital hospital includes Hospital Information System (i.e., HIS), Laboratory Information Management System (LIS), Picture Archiving and Communication Systems (PACS), and Medical Image Information Storage System (PACS). Archiving and Communication Systems (PACS) and transmission systems and physician workstations. It realizes the collection, storage, processing, extraction and data exchange of patient diagnosis and treatment information and administrative information.
The core work of the doctor's workstation is to collect, store, transmit, process and utilize the patient's health status and medical information. Doctor's workstation includes the work platform for all medical processes such as outpatient and inpatient consultation, examination, diagnosis, treatment, prescription and medical advice, medical records, consultation, referral, surgery, discharge, and case generation.
Enhancement applications include remote image transmission, massive data computation and processing, and other technologies in the construction process of digital hospitals to realize the enhancement of the level of medical services. For example:
Remote visiting, avoiding direct contact between visitors and patients, eliminating the spread of disease and shortening the recovery process;
Remote consultation, supporting superior medical resource ****enjoyment and cross-region optimal allocation;
Automatic alarms, monitoring patient's vital sign data and reducing the cost of critical care;
Clinical decision-making system, assisting doctors to Analyze detailed medical records to provide the basis for formulating accurate and effective treatment plans;
Smart prescription, analyze patients' allergies and medication history, reflect information such as drug origin batch, and effectively record and analyze information such as prescription changes to provide references for chronic disease treatment and healthcare.
2. Regional health system, consisting of two parts: regional health platform and public **** health system.
The regional health platform includes a regional health information platform that collects, processes, and transmits all information recorded by communities, hospitals, medical research institutions, and health regulatory authorities; it includes a regional health information platform that aims to use cutting-edge science and computer technology to help medical units and other relevant organizations carry out evaluation of disease risk, develop individual-based risk factor intervention programs, reduce medical expenses, and develop programs to prevent and control the occurrence of diseases. and to develop Electronic Health Record (HER) for preventing and controlling the occurrence and development of diseases. For example:
Community medical service system, which provides basic treatment for general diseases, community care for chronic diseases, upward referral for major diseases, and reception of resumed referrals;
Scientific research institution management system, which provides comprehensive management of information on pathology research, drug and equipment development, and clinical trials in medical and health science institutions such as medical schools, drug research institutes, and research institutes of traditional Chinese medicine.
Public **** health system consists of health supervision and management system and epidemic release control system.
3. Family health system.
Family health system is the closest to the public health protection, including the mobility of patients who can not be sent to the hospital for treatment of the video medical, chronic diseases, as well as the elderly and young patients remote care, mental retardation, disabilities, infectious diseases, and other special groups of people's health monitoring, but also includes automatic reminders of the time to take medication, contraindications, and the amount of remaining medication, such as the intelligent medication system.
Analyzed from a technical point of view, the conceptual framework of intelligent medical care (see the architecture diagram of intelligent medical care program) includes five aspects: the basic environment, the basic database group, the software infrastructure platform and data exchange platform, the comprehensive application and its service system, and the protection system.
Basic environment: through the construction of public **** health network, to realize the interconnection with the government information network; construction of health data center, to provide security for the basic health data and a variety of application systems.
Basic databases: six basic databases in the field of health, including drug catalog database, resident health record database, PACS image database, LIS inspection database, medical personnel database and medical equipment.
Software Infrastructure Platform and Data Exchange Platform: Provides three levels of services:
Firstly, infrastructure services, providing virtual optimized servers, storage servers and network resources;
Secondly, platform services, providing optimized middleware including application servers, database servers, portal servers, etc.
Lastly, software services. including application, process and information services.
Integrated application and its service system: including three major types of integrated applications: smart hospital system, regional health platform and family health system.
Security system: including security system, standardization system and management security system. From the technical security, operation security and management security three aspects of the construction of the security prevention system, really protect the availability of the basic platform and each application system, confidentiality, integrity, anti-repudiation, auditable and controllable.
Controllability
Prerequisites
Interconnection and collaboration
The professional wireless information platform intelligently interconnects patients, healthcare professionals, healthcare providers, and insurance companies in a seamless and collaborative manner, allowing patients to experience one-stop medical, nursing, and insurance services.
Resource application and ****sharing
Through the ****sharing interconnection of medical information and records, it integrates and forms a highly developed comprehensive medical network. It enables unified planning to be carried out between medical institutions at all levels and between business organizations, realizing the complementary advantages of medical resources and reaching a harmonious unity of supervision, evaluation and decision-making.
Operation control
From the patient's point of view
The core of smart healthcare is to be "patient-centered" and to provide patients with a comprehensive, professional and personalized healthcare experience.
Through Zhenbang intelligent medical integration of regional medical system can make a large number of medical supervision work to implement network, wireless application, to achieve medical information **** enjoy. For example: community hospitals can book the specialist number of the third-level hospitals and special examination, all kinds of examination and test results at all levels of hospitals *** enjoy *** recognition, regional health care "card" and other convenient diagnostic and treatment measures.
From the point of view of the staff of the health care
Intelligent health care through the fast and perfect digital information system letter to make the health care work to realize the "paperless, intelligent, efficient". It not only reduces the work intensity of medical staff, but also improves the speed of diagnosis and treatment, and also makes the diagnosis and treatment more accurate. In the improvement of diagnosis and treatment efficiency at the same time also improve the performance of health care personnel, thus mobilizing the enthusiasm of health care personnel.
From the point of view of the medical institutions
The integrated intelligent medical system removes all kinds of repetitive links in the medical service, reduces the operating costs of the hospital and improves the operational efficiency and supervision efficiency at the same time.
The information exchange platform provides near real-time access to disease data. This data improves the standard of care and branding of healthcare organizations and enables users to predict and analyze health risks, freeing up more time for hospitals and the country to prepare for potentially catastrophic disease outbreaks.
Through this integrated Zhenbang medical information system, hospitals can monitor every piece of data on their business operations, such as the number of visits, doctors' use of medication and tests, use of health insurance funds, and financial balances, in real time. In the most difficult to control the supervision of drugs Zhenbang network can be used from the warehouse, each doctor's workstation, inventory, expiration date and other full tracking of each drug, so as to limit the large prescription, indiscriminate inspection of real-time monitoring has become a reality.
Security and stability
From the patient's point of view
In the spirit of patient responsibility, Smart Healthcare implements preventive verification in the background, monitoring the patient's name, phone number, physical condition, drug use and other sensitive data throughout the operational access, so that patient data is accessed within the scope of the authorization permit.
Smart healthcare through networking can also carry out remote consultation, automatic access to relevant information and learn from advanced treatment experience, assisting doctors to provide patients with safe and reliable treatment programs.
From the medical staff
Wisdom of medical care according to the patient's pathological characteristics of the medical staff of the system operation of the whole process of real-time audit, to reduce the occurrence of medical errors and medical accidents, such as the patient appeared to be relative crisis value, the system can be issued even if the reminder or remote alarm, but also to avoid the doctor in the prescribing of drugs, such as contraindications and avoid the use of patients allergic to the phenomenon of medication, but also The system can also prevent doctors from prescribing drugs with contraindications and avoiding the use of allergic drugs for patients.
From the point of view of medical institutions
The hospital information system is a huge amount of data, data type complex real-time system due to the specificity of the hospital's business, any man-made or natural factors lead to the application or system interruption, will cause the hospital a huge economic and reputational losses and serious legal consequences, so the hospital's business operation and development of the IT system's continuous and stable operation puts forward very demanding requirements. The operation of the hospital's business operation and development on the continuous stability of the IT system has put forward very demanding requirements.
Intelligent healthcare systems automatically store data from different life cycles on the most appropriate storage devices according to the type of data.
In accordance with the centralized, integrated approach to build a unified hospital information system storage resources needed to ensure accessibility, reliability and security of patient data across multiple sites
With automatic error correction, when the risk of self-repair, automatic reconstruction, to ensure that patient data across multiple sites accessibility, reliability and security
With automatic error correction, when the risk of self-repair, automatic reconstruction, to ensure that patient data across multiple sites accessibility, reliability and security