In order to establish business linkage between medical institutions in the region and realize data sharing or business collaboration, medical institutions must have a unified identity mechanism, that is, 1 cartoon integration, which is the most basic task registration service logo for regional health information platform construction.
Registration service
Health record storage service is a series of repositories for storing health record information. According to the classification of health file information, health file storage service is divided into seven repositories: personal basic information repository, main diseases and health problems summary repository, children's health care repository, women's health care repository, disease control repository, disease management repository and medical service repository.
Health record storage service
Health record storage service is a series of repositories for storing health record information. According to the classification of health file information, health file storage service is divided into seven repositories: personal basic information repository, main diseases and health problems summary repository, children's health care repository, women's health care repository, disease control repository, disease management repository and medical service repository.
Medical and health information sharing and collaborative service
Medical and health information sharing and collaboration service is based on health file storage service, which provides information sharing service and business collaboration service between medical and health institutions.
According to the classification of health file information and service demand, medical and health information sharing and collaborative service is divided into seven domains: personal basic information domain, main diseases and health problems summary domain, children's health care domain, women's health care domain, disease control domain, disease management domain and medical service domain. These fields can be further subdivided into several sub-domains. For example, the medical service field can be divided into diagnosis information field, drug prescription field, clinical examination field and medical imaging field.
Full-course health record service
Whole-course health record service is used to deal with complex tasks related to data positioning and management in regional health information platform. The service includes relevant index information, linking the data saved by different storage services to a specific individual, medical and health personnel, medical and health institutions or service points that can obtain these data in real time. The whole health record service is responsible for analyzing the information from external resources and storing these data in the repository, which can respond to the retrieval, aggregation and return of data from external medical and health service points in reverse. The whole health record service also knows the additional data that other regional health information platforms may store in the client, and can also forward data requests to those regional health information platforms and merge the returned data with local information. Conversely, the whole health record service can also respond to information requests from other regional health information platforms. Whole-course health record service is the core component of the platform architecture. This service is responsible for realizing the platform interoperability specification, and may also use the components and services provided by the regional health information platform to interact with other regional health information platforms to complete a certain transaction. In a sense, the whole-course health record service is the core of the regional health information platform. Generally, data update transactions may or may not need to use the entire health record service, and many data update transactions want to be directly assigned to specific registration directories and health record storage services. Examples of such data update transactions include: new drug deployment events sent by the prescription drug domain system, new test results sent by the application system of laboratory inspection institutions to the regional health information platform, or diagnostic image result sets sent by the hospital PACS application system to the regional health information platform. On the other hand, all transactions accessing the data in the regional health information platform are expected to be handled by the whole health record service. Full-course health record service is the only component in the regional health information platform that knows all the affairs, business logic and data access rules, so it can gather a real full-course and comprehensive health record view around any data topic.
Information interface service
Information interface service includes two services: communication bus service and platform public service.
Data exchange of internal information system in medical institutions
The data exchange of internal information systems in medical institutions is mainly reflected in the collection and integration of business data of internal information systems in medical institutions and the business linkage between internal information systems in medical institutions. The business data of internal information systems of medical institutions are distributed in different information systems of different medical and health institutions. Therefore, in addition to ensuring the construction of information infrastructure (such as network infrastructure, servers, etc. ), it is necessary to establish a data exchange platform covering all medical institutions to provide collection and integration services for the original business data and support the linkage between institutions and business systems.
data warehouse
The regional health platform consists of multiple systems, covering all business systems related to residents' health, so that residents in the area can have complete health records. Collect the activity and operation data of all these systems, such as: resident registration, health records enjoyed by * * *, laboratory inspection information, public health emergency management, etc. It is best to update these data in a near real-time manner, and more importantly, to maintain fast data response access. In the expected transaction specification of the platform, most daily transactions are data access rather than data update. As more and more users realize and are willing to use electronic health records as a tool, it will grow into a large number of data access transactions.
Health file browser
The Health Record Browser is a web-based application for end users to access health records. The goal of the health record browser is to establish a user-friendly environment, and authorized medical and health personnel can easily access the customer-related data stored in the regional health information platform. The regional health information platform consists of seven domain systems, each of which is aimed at specific medical and health personnel. For example, the field of children's health care serves the needs of children's health care workers, and the field of prescription drugs serves the needs of doctors and pharmacists who prescribe drugs. Each domain solution provides end-user interface functions, especially for domain-related data sets and special functions. The difference of health record browser lies in its universality, and the key point is to provide a cross-domain integrated view of any available information in health records. This includes data related to all events tracked through indexing services, including registration, health record storage services and business management services. With the application, development and maturity of regional health information platform, users need to integrate into existing basic business systems or other Web applications. Medical institutions in the region can use the health file browser to access the integrated business data of the platform. Because this method is relatively safe (generally, it can only be accessed and cannot be modified), it is also an ideal way of information sharing from the perspective of management.