Yanhua Intelligent based on big data medical management and decision-making system

Product Overview

Under the new medical reform situation, the hospital informationization construction centered on the clinical data center (CDR) is one of the important contents of the reform of public hospitals . In recent years, various hospitals have launched medical and management services centered on clinical data centers (CDRs) to achieve comprehensive data services and supervision of medical processes, to some extent, the granularity and utilization of medical data. Represents the level of hospital information systems. In June 2016, the General Office of the State Council issued the “Guiding Opinions on Promoting and Regulating the Development of Big Data Application for Health Care Medical”, requiring medical institutions at all levels to comply with the development trend of emerging information technologies, standardizing and promoting the integration and sharing of health care big data. application. However, the information construction of medical institutions is still in the function system construction. The main task is to realize the business functions of informationization, but has not yet entered the stage of full utilization of data.

To this end, based on the establishment of a unified clinical database, the company has gradually established thematic data sets based on diseases, treatment, health economy, doctors, patients and other aspects to provide a complete and unified data presentation for medical personnel. At the same time, it provides powerful data retrieval, data export and other tools for the integrated original clinical data to serve medical research; realize effective exchange and full sharing of clinical information, and ensure that appropriate information arrives at the right place at the right time; According to the diagnosis and treatment norms, clinical pathways and evidence-based medicine, assist doctors to choose the most appropriate technology to achieve the best medical results and improve the quality of medical services. The system has functions such as clinical information collection, analysis and processing, storage and external data services, and clinical online applications.

This product prototype is developed and applied by a company for a large medical institution in Shanghai. After the practice of several medical institutions, it has become a universal product applicable to all levels of medical and health institutions. The system has received high evaluation in the field of health information technology in Shanghai.

Key indicators

1, the main purpose of the system

On the basis of comprehensive consideration of the status quo of hospital informationization and its own development requirements and the development trend of domestic industry, it is an inevitable choice to take the business service as the orientation and take the development idea of ​​humanization, digitization, integration, platform and synergy. In order to meet the business needs of providing comprehensive medical services, basic operations and management decision analysis, and achieving the goal of “unified standards, unified platform, resource sharing, and interconnection” for hospital information construction, “unified planning and distribution implementation” will be adopted. The way to establish a hospital information integration and sharing platform, the platform supports application integration and data integration between multi-source heterogeneous systems, rapid development and deployment of new functional applications, and collaborative communication between different functional systems. The main features of the platform include:

· Complete abstraction of metadata, facilitate data exchange with other systems, map necessary business operations into integrated business operations, and enable unified rights management and unified data storage management.

· Coordinate data sources for data sharing and consistent data objects. That is to establish the main index of the system business and the patient's main index system, organically organize the data of each independent software system, and realize a unified standard in the entire software environment of the hospital. Each software system can obtain the data required by each other. Eliminate information islands.

· Reorganize business processes/workflows, in order to leverage existing software systems, use integrated platform products, reorganize hospital business processes and workflows, and configure business rules, including business process integration that may span different software systems. Smooth connection between various systems and platforms, smooth data flow between subsystems, functional integration of various system workstations (patient main index, distributed resource index, comprehensive statistical report editing and publishing platform, data warehouse and data mining, internal network query And management integrated portal, personnel and department authority management based on all systems, security management, etc.).

· Compound new applications, using the functions of the original software system, to develop and build new application systems at minimal cost, including business function module combinations such as application interface integration of different systems. Provide system integration and data exchange platforms for other system development in the future: for example: outpatient clinical path management, medical process quality monitoring, hospitalized standardized process management, rational drug management, surgical anesthesia management system, patient monitoring system, medical mobile ward round system, Query of the medical knowledge room diagnostic knowledge base, clinical department knowledge base accumulation and query, clinical literature knowledge base application.

· Monitor, manage, and control business processes to control overall business operations in real time. Ability to react in real time to critical business behavior and related events, as well as automatically feedback and execute branch business processes.

· A globally shared data center and its management platform to provide a data foundation for clinical diagnostic aids and research projects for healthcare professionals; an analysis database for process monitoring and hospital operations for managers; and a project-related subject data warehouse for research .

2, system architecture

The hospital information integration and sharing platform is the basic platform for the development and application integration of hospital business systems. It is a business-oriented and driven basic software platform that can quickly build and run management application software systems. It is a message exchange center and The business process intermediate hub provides various data interfaces to various hospital systems according to standard protocols and specifications. Each system uses the interface to realize data upload and release, thereby realizing data sharing and exchange between each system and other systems. The application integration middleware platform should adopt the message mechanism, interact based on the message middleware, conform to the J2EE technology framework, and conform to the XML technology data transmission format specification. The system architecture is as follows:

The overall physical architecture of the platform is as follows:

This architecture consists of three sub-function platforms:

· Establish a hospital-wide “data center and its management platform” through data exchange/integration/integration technology to achieve data sharing and eliminate information silos between heterogeneous systems.

· Based on the hospital-wide data center and its management platform, build a “data exchange and information integration platform” to achieve process definition and business integration for hospitals.

· Based on the hospital-wide data center and its management platform and data exchange and information integration platform, establish basic service architectures such as Portal, identity authentication system, BI presentation, and WEB services, and build a hospital's “business support and security certification platform”.

3, system technical characteristics

The main technical features of this architecture are:

· Unified security certification service

· Customized hospital Portal portal

· Integrated hospital business process management engine

· Standard hospital HL7 message exchange engine

· Rich business intelligence data presentation

· Hospital-wide data center and its management services

The “data center and management platform” in the architecture provides unified storage and management services for the entire hospital data through database management software and its matching data warehouse software and SAN infrastructure.

The "Data Exchange and Information Integration Platform" uses a loosely coupled business process integration engine based on BPEL technology and a standard HL7 message exchange engine to take full advantage of the original IT investment, and respond flexibly and quickly to new business specifications to achieve patient Centralized, standardized data exchange and business process integration, supporting hospital-wide business integration, allowing hospital information systems to truly respond quickly to changes in business systems.

"Business Support and Security Certification Platform" is a complete business infrastructure platform provided by J2EE application server software, Portal software, identity authentication software, ETL and BI server software, supporting B/S mode application development, including a J2EE and Web. Services runtime environment, HTTP server, directory service (OID), identity management service, Portal service, etc., support the storage, cleaning, extraction, loading and management of various types of data (structured and unstructured) in the hospital information system. , to achieve assisted decision management and intelligent mining. Used to support the development and deployment of hospital applications. Future J2EE-based applications such as browser-based electronic medical record systems and disease surveillance systems can be built on top of the business support platform. The business support platform provides a Web Service registration center to support the registration of hospital application systems to become Web services to provide services for other business systems.

4, system key indicators

The system has the following performance

· The bandwidth occupied by data transfer (HL7 message flow, business process interaction request, etc.) should not exceed 45% on average when the system is running (the bandwidth occupied by image transmission should be considered).

· The maximum user throughput in the system operation should take into account the various types of data that the system may integrate and share.

· The maximum number of online users supported by the system is no less than 3000.

· The system capacity is not less than 100000 concurrent.

· The running time of the platform is 7×24.

· The uninterrupted operation rate of the platform is 99.999%.

· In case of emergency, the platform can return to normal within 30 minutes.

5, innovation points

The innovations of this product are as follows:

· Integrate various messages through the message mode of the integrated platform HL7, and combine data integration using EL-T and CDC modes to support various HL7 message mode service interactions.

· The integrated platform has a unified interaction mode and rules to support the services of any HL7 mode message.

6, application and promotion value

This product has high application and promotion value

1) Using the data exchange and information integration platform of the solution, standard external service interfaces and portable business processes can be used between the out-of-hospital institutions and the in-house departments to reduce the cost of business application integration. At the same time, based on the construction of the clinical data center of the integrated platform, the medical staff is provided with complete and unified data presentation. At the same time, it provides powerful data retrieval, data export and other tools for the integrated original clinical data to serve medical research. The development of applications based on clinical data enables hospital data centers, data mining and decision support functions. The system establishes a data center within the hospital to unify data formats and standards. On the data mining platform, a professional information analysis model is established to complete the conversion from information to knowledge, and at the same time, the interactive platform and the medical monitoring system are used to apply knowledge to the real-time application and business system.

2) The information model of this solution fully complies with the industry international standard - HL7 version 3 reference information model. At the same time, this model shares the infrastructure with the business support platform. Therefore, the data exchange and information integration platform information model can ensure that all business, management and financial information need only be defined once, and can be shared among different application systems, thereby greatly reducing unnecessary data input and ensuring the entire business process. The consistency and integrity of the data.

company profile

Yanhua Smart, the leading smart city service and operator in China, focuses on the smart city top-level design, smart medical care , smart energy conservation, smart environmental protection, smart community and intelligent building, smart transportation, smart pension and other smart city professional fields. The first company listed on the Shenzhen Stock Exchange with smart buildings as its main business (stock code: 002178), the first listed company to complete the issuance of smart city projects, is the most qualified and professional group company in the smart city field. .

Food flavoring

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Xi'an Gawen Biotechnology Co., Ltd , https://www.ahualyn-bios.com