"Reduce the regional medical information construction total cost of ownership (TCO), provide centralized management, scalable resource allocation capacity, improve the regional medical information construction speed and quality" is the core of Zhenbang "cloud" computing platform solutions. Objective By quickly building a regional medical "cloud" computing platform, we can quickly establish a regional medical data center, resource service center and application support center, and create a solid, reliable, flexible and powerful information system construction and support platform for regional medical information construction.
The platform is developed in accordance with the Ministry of Health's "Guidelines for the Construction of a Regional Health Information Platform Based on Health Records (for Trial Implementation)", "Basic Architecture and Data Standards for Health Records (for Trial Implementation)", "Common Data Element Standards for Health Records (for Trial Implementation)", "Specification for the Compilation of Basic Data Sets for Health Records (for Trial Implementation)", and the "Basic Architecture and Data Standards for Electronic Patient Records", among other standards.
The platform is built with advanced computer cluster technology, virtualization management technology, cloud computing management technology, and high-speed and reliable storage and disaster recovery technology, and at the same time, through the establishment of a centralized regional residents' health records data center, electronic medical records "cloud" computing management center, data exchange center and regional medical Saas At the same time, by establishing a centralized regional data center for residents' health records, a "cloud" computing management center for electronic medical records, a data exchange center and a regional medical Saas service platform, the platform provides a low-cost, fast, reliable, flexible and easy-to-manage software and hardware support environment for the construction of informationization in the areas of regional and wider public **** health, medical services, new rural cooperative medical care, drug management and comprehensive health management, thus improving the speed and quality of regional medical informationization construction while reducing construction and maintenance costs.
The platform consists of an infrastructure layer, a platform management layer and an application support layer:
Infrastructure layer
Consisting of computer server clusters, storage area network (SAN), operation and maintenance and security management systems, and the regional healthcare private network. It is the centralized support layer for centralized data management, rapid exchange and virtualization services.
Platform management layer
This layer provides platform monitoring, resource management, load balancing, application virtualization, hardware virtualization and other functions, and is the core management layer that gives full play to the value of the platform's resources and reasonably distributes the platform's service capabilities.
Application Support Layer
It is the core service layer that provides functions such as health record data center, electronic medical record "cloud" management center, data exchange center and regional medical Saas service platform.
Features of the platform
Tailor-made for regional medical informatization
The platform provides electronic health records and electronic medical records "cloud" management center according to the characteristics of regional medical informatization and relies on the regional health network. The platform provides a "cloud" management center for electronic health records and electronic medical records according to the characteristics of regional medical informatization, and provides small and medium-sized medical institutions with a customizable "software-as-a-service" Saas support platform relying on the regional health network, which can effectively reduce the cost and increase the speed of the construction of medical informatization.
Resources on demand
The platform provides scalable resource allocation on demand, providing rapid hardware resource allocation, storage resource allocation and application deployment services according to the actual needs of various types of medical and healthcare institutions in the region, as well as centralized operation and maintenance management, At the same time, through centralized operation and maintenance management, security control and other means, it can effectively reduce the cost of informatization construction and improve service efficiency and service quality.
Flexible expansion, plug-and-play services
The platform can dynamically increase server and storage resources according to resource demand and maximize the resource advantages of the "cloud" platform; through the support of the centralized e-health record data center and the "cloud" management center for electronic medical records, the platform can utilize the "cloud" management center to support the centralized e-health record data center and the "cloud" management center for electronic medical records, and utilize the "cloud" management center for electronic medical records. Through the centralized electronic health record data center and electronic medical record "cloud" management center support, the use of Saas technology services, we can expand the information system service module at any time according to business needs, so that various types of medical and health institutions can be on-demand, rapid construction of personalized information systems, to achieve the plug-and-play information technology construction.
Application Scenarios
The regional medical "cloud" computing platform provides a low-cost, fast deployment, safe and reliable, interconnected information, highly **** enjoy the regional medical informatization construction foundation and core platform. Relying on the "cloud" platform, it can quickly build or integrate information systems in various business areas, such as medical services, drug management, new rural cooperative, public **** health and comprehensive health management, and provide a good service and support environment for these information systems.
Regional residents' electronic health record system
Electronic health record system is the foundation of regional medical informatization work, but also one of the important work requirements in the new medical reform. Zhenbang in its own "regional medical 'cloud' computing platform" on the basis of "health records basic structure and data standards" and other relevant national and international standards, in order to give full play to the "cloud" computing capacity on the premise of On the premise of giving full play to the "cloud" computing capability, it proposes a regional residents' electronic health record system based on "cloud" computing.
The system forms a set of electronic health record solutions that seamlessly integrates with various informatization systems in the region through the centralized storage of health record information, the distributed deployment of applications, and the separation of reading and writing of data, and by utilizing the resource scaling and management capabilities of the "cloud" computing platform.
Overall framework of the health record system solution
Overall architecture*** is divided into four layers:
Data layer
It is mainly responsible for the centralized storage of static and resultant health record information. This layer communicates with related information systems through the exchange layer to extract and *** enjoy the health record related data; meanwhile, it supports the health record system related applications through the support layer.
◎ Data Exchange Layer
The data exchange layer provides data extraction, encapsulation, conversion, distribution and subscription functions. It is a very important basic functional layer. Through this layer, the health record system realizes the transmission and processing of health record information with medical institutions, communities, public **** health institutions and other information sources and use systems.
◎ Support layer
Support layer for the system application to provide information indexing services, registration and authentication services, data services, data mining and other services.
◎ Application Layer
This layer provides a WEB-based health record browser for authorized professionals and individuals to browse health record information; a decision support system to analyze problems, build models, and simulate decision-making processes and scenarios; and a WEB-based health record portal service system and health business management system.
Solution features
Cloud-based architecture
The infrastructure of the solution makes full use of the resource management and distribution advantages of the cloud platform, and fully embodies the technical characteristics of low cost, fast construction, easy management, security and reliability.
Centralized Management, Distributed Applications
Centralized management of the health records data center can better realize the functions of data extraction, cleaning, encapsulation, indexing, storage, distribution*** enjoyment, etc.; at the same time, the construction of the health records-based informatization system provides a very good basis for data management and a supportive environment.
Flexible Space and Function Expansion Capability
System deployment based on the cloud platform can fully guarantee the expansion capability of data storage space and the on-demand allocation and enhancement of server processing capacity, thus also making it easier to increase and adjust system functions according to business needs and changes. Helping hospitals realize patient-centered intelligent healthcare
Establishing a digital hospital information system with an electronic medical record at its core realizes the interconnection of hospital information, efficient collaboration between healthcare providers, and intelligent decision-making in management. Hospital informatization has experienced more than a decade of development, large and medium-sized hospitals basically have a complete and powerful HIS, LIS, PACS and other business systems, improving the efficiency of medical and nursing work, and operation and management has made great progress compared with the previous.
Establishing a hospital-wide information integration platform
On top of each discrete business system within the hospital, a medical and clinical information integration platform based on information exchange standards and its corresponding interface specification standards is established. Based on the existing HIS, CIS, LIS, PACS and other application systems, it realizes the interoperability of information within and between medical institutions and the continuity and relevance of medical information.
Improve the clinical support system
Coverage construction of clinical support systems for surgery and anesthesia, ICU, electrocardiography, pathology and other clinical support systems, to realize the comprehensive digitalization of clinical operations.
Clinical healthcare business collaboration with electronic medical records
Taking electronic medical records as the information unit, standardizing, electronizing and semantically processing medical and clinical information to realize patient-centered, process-optimizing and information standard-based clinical healthcare business collaboration.
Hospital operations management (HRP)
Aiming at the many problems that exist in the management of human, financial and material resources in hospitals at present, as well as the requirements and strong advocates of healthcare reform-related policies, the application of HRP will comprehensively enhance the level of hospital operations management
Data mining intelligent decision-making
The valuable hospital data resources (recent and historical data) to carry out Centralized storage, aggregation, statistics and analysis to meet the hospital management decision makers to monitor and analyze the operation of the hospital and decision making.
Hospital System Integration Platform
Hospital System Integration Platform Architecture
The platform adopts a flexible SOA architecture and establishes a data exchange layer based on the hospital's existing information system with unified standards for handling network, transport and application layer protocols. These services support hot-deployable modules to support various application-level protocols such as Web Services (WS-I), ebXML, SOAP and remote invocation protocols such as RMI, DCOM, .NET, etc., effectively integrating the hospital's various business application systems to form an interconnected hospital business collaboration network.
Surgical anesthesia information system
Surgical anesthesia information system is a direct integration of bedside medical monitors and other related medical information, such as monitors, anesthesia machines, blood gas analyzers, oximetry monitors, and HIS information, test data, and complete transmission of medical and nursing information in the operating room, correctly integrating the work of the various clinical information operational interfaces, and making timely and close care and medical treatment. Care and medical treatment, which will greatly improve the quality of medical care in the hospital, the realization of the operating room paperless operation, improve the efficiency of the medical staff; at the same time, the system can effectively save the patient's basic information, which also brings certain benefits to the hospital research.
Electronic medical record system
Electronic medical record in medical applications through electronic devices (computers, health cards, etc.) to save, manage, transmit and reproduce the digital patient's medical records, replacing the handwritten paper medical records, which include all the information of the paper medical records. Support the collection of medical information, storage, access and online help, and around the improvement of medical quality, safeguard medical safety, improve medical efficiency and provide information processing and intelligent service function of the computer information system, including both the application of outpatient (emergency) clinics, wards of the clinical information system, but also includes the examination, testing, pathology, imaging, electrocardiography, ultrasound, and other medical and technical departments of the information system.
Hospital operations management system (HRP)
HRP is the standardization of dispersed business systems and processes, the implementation of standardized, unified management. The establishment of the budget to the implementation of the interlocking cost control process, to achieve the integration of the hospital's financial and business
Traditional HIS companies have some of the modules, but basically they are independent, and the function is not comprehensive enough, especially the lack of integration of the design
◎Logistics, fixed asset management system
◎The whole process of management to increase transparency
◎On-demand purchasing, reduce unnecessary capital consumption Procurement on demand, reducing unnecessary capital utilization
◎A reflection of the full life cycle of assets
Financial management system
◎Integrated design ensures seamless integration, and each business system automatically generates vouchers accurately and in a timely manner
◎Liberates financial staff from heavy manual labor, and allows them more time to carry out valuable financial analysis
Report data visibility
This is the first time that a financial system has been used in the United States, and it is the only time that a financial system is used in the United States. p>
Reporting data perspective tracking, can be traced back to the actual point of occurrence of each business, to strengthen the ability of financial control
Cost accounting system
◎The important basis for obtaining government reimbursement
◎The need for internal cost control, to find a reasonable cost control points
◎The price of medical items, the important factor in the development of the standard of single-patient payment
The performance management system
Performance Management SystemBuild a fair and reasonable performance appraisal index system
Combine qualitative and quantitative appraisal; combine financial and non-financial indicators