An indispensable part of intelligent medical care

Smart medical care consists of three parts, namely, smart hospital system, regional health system and family health system.

1. Smart hospital system consists of two parts: digital hospital and upgraded application. Digital hospital includes four parts: hospital information system (HIS), laboratory information management system (LIS), image archiving and communication system (PACS), transmission system and doctor workstation. Realize the collection, storage, processing, extraction and data exchange of patient diagnosis and treatment information and administrative management information. The core work of a doctor workstation is to collect, store, transmit, process and utilize patients' health status and medical information. The doctor workstation includes the working platform for all medical processes such as consultation, examination, diagnosis, treatment, prescription and doctor's advice, course record, consultation, transfer, operation, discharge and medical record generation. Popularization and application include the application of remote image transmission, massive data calculation and processing technology in the process of digital hospital construction to improve the medical service level. For example, remote visits can avoid direct contact between visitors and patients, prevent the spread of diseases and shorten the rehabilitation process; Remote consultation, supporting the sharing of superior medical resources and cross-regional optimal allocation; Automatic alarm, monitoring the patient's vital signs data, reducing the cost of intensive care; Clinical decision-making system helps doctors analyze detailed medical records and provide basis for making accurate and effective treatment plans; Intelligent prescription, analysis of patients' allergy and medication history, reflection of information such as drug origin batches, effective record and analysis of prescription changes and other information, and provide reference for chronic disease treatment and health care. 2. The regional health system consists of two parts: the regional health platform and the public health system. Regional health platforms include regional health information platforms that collect, process and transmit all information recorded by communities, hospitals, medical research institutions and health supervision departments; Including the use of cutting-edge science and computer technology to help medical units and other relevant organizations to carry out disease risk assessment, formulate individual-based risk factor intervention programs, reduce medical expenses, and formulate electronic health records (her) to prevent and control the occurrence and development of diseases. For example, the community medical service system provides basic treatment for general diseases, community care for chronic diseases, upward referral for serious diseases and follow-up services; The management system of scientific research institutions comprehensively manages the pathological research, drug and equipment development, clinical trials and other information of medical and health institutions such as medical college, pharmaceutical research institute and Chinese medicine research institute. The public health system consists of health supervision and management system and epidemic release control system. 3. Family health care system.

Family health system is the most personal health protection for citizens, including video medical treatment for patients who can't be sent to hospital for treatment, remote monitoring for patients with chronic diseases, old and young, health monitoring for special people such as mental retardation, disability and infectious diseases, and an intelligent medication system that automatically prompts medication time, contraindications and remaining dosage.

From a technical point of view, the conceptual framework of smart medical care (see smart medical scheme architecture diagram) includes five aspects: basic environment, basic database group, software basic platform and data exchange platform, comprehensive application, service system and guarantee system. Basic environment: through the construction of public health private network, realize the interconnection with government information network; Build a health data center to provide security for basic health data and various application systems. Basic databases: including six basic databases in the health field, including drug catalogue database, resident health file database, PACS image database, LIS inspection database, medical personnel database and medical equipment. Software basic platform and data exchange platform: provide services at three levels: first, infrastructure services, providing virtual optimization servers, storage servers and network resources; Secondly, platform services provide optimized middleware, including application servers, database servers and portal servers. Finally, software services, including applications, processes and information services. Comprehensive application and its service system: including three categories of comprehensive applications: smart hospital system, regional health platform and family health system. Safety system: including safety system, standard system and management system. The security system is constructed from three aspects: technical security, operational security and management security, which truly protects the availability, confidentiality, integrity, non-repudiation, auditability and controllability of the basic platform and various application systems.