CN109300518A - It realizes the acquisition of health account data and has access to the system and method for management - Google Patents
It realizes the acquisition of health account data and has access to the system and method for management Download PDFInfo
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- CN109300518A CN109300518A CN201811227822.8A CN201811227822A CN109300518A CN 109300518 A CN109300518 A CN 109300518A CN 201811227822 A CN201811227822 A CN 201811227822A CN 109300518 A CN109300518 A CN 109300518A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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Abstract
The present invention relates to a kind of system and methods realized the acquisition of health account data and have access to management, including data acquisition system management module, for the data of patient to be acquired and screened according to regional health information platform；Information view service management module is connected with the data acquisition system management module, for having access to patient-related data according to user's needs are customized；Health account memory management module is connected with the information view service management module, for storing the basic personal information of patient, basic health information of all categories and the medical data after screening according to classification；Front-end interface management module is connected with the information view service management module, for carrying out browsing displaying to the data having access to.Using the system and method, using the customized mode of user, define user and want the content seen, to realize that health account is had access to, more further meet the demand for specifically having access to personnel.By the construction favorably with the use of business and system.
Description
Technical field
The present invention relates to disease control business scope more particularly to public health disease control business scope, in particular to a kind of realizations
Health account data acquire and have access to the system and method for management.
Background technique
In the prior art according to the effect and feature of Electronic Health Record, combining information content and information source, building with
Personal essential information and Major health service log 1+NX logic data model dimerous.
1+NX model is the basic logic model of the entirely Information System based on Electronic Health Record, is held to as " 1 "
Personal essential information, common understanding is personal build-in attribute through entire life, and content is also relatively stable, it should in electricity
Sub- health account disposably acquires when filing for the first time, is used in conjunction with later by all mechanisms.
But have been found that in practice do so it is very unreasonable because in subdivision field (such as the field Gong Wei),
The object " people " that each business domains are studied, managed, servicing is not stringent natural person, but has specific transactions domain sign
" people " be to have different explanations in different business domain to its build-in attribute.
Therefore these so-called shared informations are put into " 1 " and carry out unified acquisition, centralized management will directly affect data
Effective use.
Summary of the invention
The purpose of the present invention is overcoming the above-mentioned prior art, shared individual can be integrated substantially by providing one kind
The acquisition that information meets all kinds of different users shows, rule is had access to needed for customized user, summarizes careful comprehensive individual
The realization health account data of health care information acquire and have access to the system and method for management.
To achieve the goals above, realization health account data of the invention acquire and have access to the system and method for management such as
Under:
The system that the realization health account data acquire and have access to management, is mainly characterized by, the system includes:
Data acquisition system management module, for the data of patient to be acquired and screened according to regional health information platform；
Information view service management module is connected with the data acquisition system management module, for according to user's needs
It is customized to have access to patient-related data；
Health account memory management module is connected, for storing patient with the information view service management module
Basic personal information, basic health information of all categories and the medical data after being screened according to classification；
Front-end interface management module is connected, for the data having access to the information view service management module
Carry out browsing displaying.
Preferably, the information view service management module includes:
Customized demand management unit, is connected with the data acquisition system management module, has access to patient for customized
The rule of medical data, and demand is had access to according to classification storage；
Data screening administrative unit, with customized demand management unit, data acquisition system management module and the health
Archives storage management module is connected, for according to the customized related data for having access to rule extraction patient of user, and to institute
The patient data stated carries out screening combination；
Data have access to service managing unit, with the customized demand management unit, data screening administrative unit and
Health account memory management module is connected, and combines for needing to have access to the patient data after screening combination according to user.
Preferably, the basic personal information of patient in the health account memory management module include patient name,
Three fields of type of credential and passport NO..
Preferably, the class categories in the health account memory management module include Birth Registration, child health care, epidemic disease
Seedling inoculation, health care of women, disease prevention, disease control, medical services and Vital registration.
The method realized the acquisition of health account data based on above system and have access to management, is mainly characterized by, described
Method the following steps are included:
(1) system described in acquires medical data by data acquisition system management module；
(2) system described in is had access to required patient health according to user demand based on information view service management module and is cured
Treat data；
(3) patient data needed for the front-end interface management module described in shows user combines.
Preferably, the step (2) specifically includes the following steps:
(2.1) system described in judges health account memory management module with the presence or absence of the patient after screening needed for user
Medical data continues step if it is, the data, which have access to service managing unit, has access to relevant patient data combination
(3)；Otherwise, continue step (2.2)
(2.2) what the customized demand management unit described in defined patient data according to the demand of user has access to rule；
(2.3) the data screening administrative unit described in is according to the medical data for having access to Rules Filtering patient；
(2.4) data described in have access to service managing unit and have access to patient's number after screening combination according to the request of user
According to.
Preferably, the step (2.2) specifically includes the following steps:
(2.2.1) judges that customized demand management unit has access to rule with the presence or absence of needed for the user of related category, such as
Fruit is then to continue step (2.3)；Otherwise, continue step (2.2.2)；
The medical data of the customized required related category of (2.2.2) user has access to rule；
User is customized has access to rule for the storage of (2.2.3) customized demand management unit.
Preferably, the step (2.3) specifically includes the following steps:
Data screening administrative unit described in (2.3.1) is according to the medical number for having access to rule extraction screening patient
According to；
The basic health information of patient medical data and related category after the screening are carried out group by (2.3.2) system
It closes；
Patient health's medical data after (2.3.3) health account memory management module storage screening combination.
Preferably, patient health's medical data described in the step (2) includes the basic personal information, each of patient
The basic health information of classification and the medical data after being screened according to classification.
The system and method for acquiring and having access to management using the realization health account data, using the customized side of user
Formula defines user and wants the content seen, to realize that health account is had access to；When needing to have access to, then from business production system
The demand of personnel is more specifically had access in middle extraction and conversion, meeting.Information view service is whole without actual data
It closes, layout integrating only is carried out to underlying data service, browsing is provided and is shown.This mode, is greatly improved archives
Real-time and flexibility only show that user really wants the information seen.It needs to carry out the end NX of 1+NX model in practice
Extension, 1+N (A+X) model of business scope feature can more accurately be stated by being formed, by favorably with the use of business and system
Construction.
Detailed description of the invention
Fig. 1 is the archives service of having access to of realization health account data acquisition and the system and method for having access to management of the invention
Schematic diagram.
Specific embodiment
It is further to carry out combined with specific embodiments below in order to more clearly describe technology contents of the invention
Description.
Realization health account data acquisition of the invention and the system for having access to management include:
Data acquisition system management module, for the data of patient to be acquired and screened according to regional health information platform；
Information view service management module is connected with the data acquisition system management module, for according to user's needs
It is customized to have access to patient-related data；
Health account memory management module is connected, for storing patient with the information view service management module
Basic personal information, basic health information of all categories and the medical data after being screened according to classification；
Front-end interface management module is connected, for the data having access to the information view service management module
Carry out browsing displaying.
Preferably, the information view service management module includes:
Customized demand management unit, is connected with the data acquisition system management module, has access to patient for customized
The rule of medical data, and demand is had access to according to classification storage；
Data screening administrative unit, with customized demand management unit, data acquisition system management module and the health
Archives storage management module is connected, for according to the customized related data for having access to rule extraction patient of user, and to institute
The patient data stated carries out screening combination；
Data have access to service managing unit, with the customized demand management unit, data screening administrative unit and
Health account memory management module is connected, and combines for needing to have access to the patient data after screening combination according to user.
Preferably, the basic personal information of patient in the health account memory management module include patient name,
Three fields of type of credential and passport NO..
Preferably, the class categories in the health account memory management module include Birth Registration, child health care, epidemic disease
Seedling inoculation, health care of women, disease prevention, disease control, medical services and Vital registration.
The method realized the acquisition of health account data based on above system and have access to management, is mainly characterized by, described
Method the following steps are included:
(1) system described in acquires medical data by data acquisition system management module；
(2) system described in is had access to required patient health according to user demand based on information view service management module and is cured
Treat data；
(2.1) system described in judges health account memory management module with the presence or absence of the patient after screening needed for user
Medical data continues step if it is, the data, which have access to service managing unit, has access to relevant patient data combination
(3)；Otherwise, continue step (2.2)
(2.2) what the customized demand management unit described in defined patient data according to the demand of user has access to rule；
(2.2.1) judges that customized demand management unit has access to rule with the presence or absence of needed for the user of related category, such as
Fruit is then to continue step (2.3)；Otherwise, continue step (2.2.2)；
The medical data of the customized required related category of (2.2.2) user has access to rule；
User is customized has access to rule for the storage of (2.2.3) customized demand management unit.
(2.3) the data screening administrative unit described in is according to the medical data for having access to Rules Filtering patient；
Data screening administrative unit described in (2.3.1) is according to the medical number for having access to rule extraction screening patient
According to；
The basic health information of patient medical data and related category after the screening are carried out group by (2.3.2) system
It closes；
Patient health's medical data after (2.3.3) health account memory management module storage screening combination.
(2.4) data described in have access to service managing unit and have access to patient's number after screening combination according to the request of user
According to.
(3) patient data needed for the front-end interface management module described in shows user combines.
Preferably, patient health's medical data described in the step (2) includes the basic personal information, each of patient
The basic health information of classification and the medical data after being screened according to classification.
In a specific embodiment of the invention, 1+N (A+X) model construction health account is used, is based on this model structure
The health account built can effectively use the mode of " projection " to be had access to.
The use of health account is divided into " acquisition " and " use ".
In the prior art according to the effect and feature of Electronic Health Record, combining information content and information source, building with
Personal essential information and Major health service log 1+NX logic data model dimerous." 1 " in model refers to a
People's essential information further includes the personal basic health and fitness information in part mainly including demography and socioeconomic equal basic informations.
These information, which have been generally acknowledged that, can reflect personal essential characteristic, and content is relatively stable, and runs through whole life cycle.Such as:
Name, gender, the date of birth, nationality, occupation, schooling, marital status, household register address, work unit, blood group, history of disease,
Genetic disease history etc..N in model represents uncertain number, and X indicates that certain class Health Services records.The NX of model refers at present
It is 5 major class Health Services record, is child health care, health care of women, disease prevention, disease control, medical services respectively；It is subdivided into
31 group medical and health services or health control record, cover personal whole life cycle from birth to death.
Object oriented designing tool is there are three important feature: encapsulation is inherited and polymorphic.Encapsulation refers to and will deposit in real world
The attribute of some object bound together with behavior, and be placed in a logic unit.Succession is one kind between class
The structure and behavior that relationship, such as a class have shared another class.It is polymorphic to refer to that the same entity has a variety of expression-forms.
As the personal essential information at " 1 " end, different objects can be projected into each subdivision field of health, for a certain
Particular community, such as " address ", are meant that the daily inhabitation address of patient in slow sick domain, and containing in health care for pregnant and puerperal women domain
Adopted then be that pregnant and lying-in women recuperate address, intension represented by the two is different.
Pass through analysis above, it can be seen that " people " studied in each subdivision field of health, attribute therein is not
There is different intensions, since intension is different, then its extension taken out is also different, for difference in same business domains
Extension be not likely to form firm model encapsulation and enter in " 1 ", simultaneously because the complexity of hygienic each line, can not theoretically yet
Exhaustion goes out to be encapsulated into " 1 " suitable for all properties in all subdivision fields, therefore, in order to more accurately state subdivision field mould
Type, it should personal essential information attribute is implanted into the end NX with polymorphic method using inheriting, form the end N (A+X).In each business
The personal essential information that a management object inherits " 1 " end is established in domain, to attribute therein, by more in each management object
State mode is indicated, this management object also just constitutes the A in the end N (A+X), and entire model is also formed 1+N (A+X)
Form.
In 1+NX model, in the personal essential information as " 1 " end, in order to meet the needs at the end NX, blood pressure, disease are contained
The attributes such as medical history, family history, this just makes to rely on end " NX " as low layer in design as high-rise " 1 " end,
The demand for needing to fully consider the end " NX " has violated dependence and has been inverted principle.Further, since the informationization of entire health field at present
It is in the high-speed developing period, current top layer architecture design accomplishes to be included in most health subdivision business domains not yet, with
Information-based development, necessarily can also constantly there are new business domains to be added, form new NX, and with these new NX's
It is added, model will necessarily be held to propose the requirement of modification to " 1 ", so also just deviating from opening and closing principle.
Among the above, 1+N (A+X) model that we are expanded provides good solution to these problems, can be with
The specific object that " 1 " is held is displaced downwardly in the A in the end N (A+X), dependence of " 1 " end to the end NX is avoided in this way, makes high level not
Low layer is depended on again, while when there are new business domains to be included in information system system, it is only necessary to increase (the A+ in new business domain
), X without modifying to existing " 1 " end.
The mechanism that the user of Electronic Health Record is existing in person, also has hospital doctor to be also provided with public health service.
The visual angle of each side is different in use, and the emphasis of concern is also different.Therefore in Electronic Health Record logic data model
In building process, the requirements such as acquisition, use, displaying for integrating shared personal essential information to meet all kinds of different users are difficult
, and be difficult to realize.
In addition, considering from protection service object's individual privacy angle, 36 essential informations include a large amount of privacy informations, this kind of
Information is directly consulted and improper by all mechanisms directly as public information.
Therefore, it needs to be extended the end NX of 1+NX model in practice, formation can more accurately state business scope
1+N (A+X) model of feature, by the construction favorably with the use of business and system.
Finally it has to be emphasized that summarizing as careful as possible, comprehensive personal essential information data set in terms of data standard
It is highly desirable.Each business activity can acquire the personal essential information field of this business concern according to respective needs, but
All fields all have to comply with data standard, provide basis to conceptual data model level for these informations.
In logical model level, 1+NX is difficult to meet actual business requirement the technical program (1), it should be adjusted to 1+N (A+
X), wherein 1 information is reduced to type of credential, passport NO., three fields of name, N (A+X) is exactly together in series by purpose.A
For the essential information under some specific business.(2) difference with the prior art is the comprehensive integral data of the prior art, and is provided
The health account interface of one standard is used for all users.However, this mode effect is bad.This programme uses user certainly
The mode of definition defines user and wants the content seen, to realize that health account is had access to.(3) system need not or not have to premature
Data are converged, are integrated, uniformly, can extract and convert when needing to have access to, then from business production system, more
The demand of personnel is specifically had access in meeting further.(4) it is based on this, licensing for user is considered further that, is only and has and can operate
Property, such as orthopedist is when diagnosis and treatment care of fractured fingers, it will be appreciated that the allergies of patient or in the past injured situation, but
Be need not, should not also go understand patient motherhood history.
In another embodiment of the present invention, the example including data subscription:
One patient's first day to hospital admission, relevant medical information is recorded in the HIS system of hospital oneself.
1, daily night, the information that all diagnosis informations of the hospital can all be converted to unified format are uploaded to regional health
Information platform.
If 2, A patient's secondary diagnosis is diabetes (disease for belonging to public health basic service management), she
Medical, diagnostic message, will be screened, and in the form of task by the screening sequence of platform, according to patient registration
Inhabitation address is sent at the community medical service center family doctor of counterpart.
3, when family doctor working in second day, one day task to be done is just had on her work station, it is desirable that she joins
It is the patient.If patient's first is ready that entering diabetic intervenes management queue, which will be patient
First establishes diabetes management card, and periodically carries out follow-up intervention.
4, simultaneously, because patient has been uploaded to regional platform in the diagnosis information of hospital, family doctor can pass through
" archives are had access to " understands patient in the diagnosis information (such as examining report) of hospital.
5, for hospital doctor, they can also understand patient in the follow-up intervention of community by " archives are had access to "
Situation (such as diet, movement).
In another embodiment of the present invention, the example including information view service:
Whether health account is had access to or disease archives are had access to.We when this secondary design, one it is maximum not
It together, is exactly the content for being not fixed archives.In order not to fixed archive content, our fixations to archives without reality (physics)
In the presence of.But the displaying of full data directory is carried out, different user can define different archives according to their own needs and show in fact
Figure, platform need content according to user, and the data of needs are transferred into each system, carry out " projection " and show.That is information view
Each business underlying data service is carried out combing and is integrally formed bottom data intersection by service, and according to the view need of each service definition
It asks, extracts, encapsulates different underlying data service formation Data View services, have access to checking for each operation system, pass through
Leading portion interface carries out browsing displaying.Information view service only compiles underlying data service without actual Data Integration
Integrating is arranged, browsing is provided and is shown.
This mode is greatly improved the real-time and flexibility of archives, only shows that user really wants the letter seen
Breath.100 people will 100 oneself ideal archives show content in the heart, be difficult to meet owner with one or several kinds
Requirement can flexibly solve the problems, such as very much this therefore by this mode.
Data are uploaded to platform for hospital, this is uniform requirement.For going out relevant Disease according to Rules Filtering
Information, and corresponding entity account is pushed to task.We require this, as a line service registration on platform, by
Platform realizes tidal data recovering, data screening, data orientation push.Here it is " data subscriptions " of platform class
The system and method for acquiring and having access to management using the realization health account data, using the customized side of user
Formula defines user and wants the content seen, to realize that health account is had access to；When needing to have access to, then from business production system
The demand of personnel is more specifically had access in middle extraction and conversion, meeting.Information view service is whole without actual data
It closes, layout integrating only is carried out to underlying data service, browsing is provided and is shown.This mode, is greatly improved archives
Real-time and flexibility only show that user really wants the information seen.It needs to carry out the end NX of 1+NX model in practice
Extension, 1+N (A+X) model of business scope feature can more accurately be stated by being formed, by favorably with the use of business and system
Construction.
In this description, the present invention is described with reference to its specific embodiment.But it is clear that can still make
Various modifications and alterations are without departing from the spirit and scope of the invention.Therefore, the description and the appended drawings should be considered as illustrative
And not restrictive.
Claims (9)
1. a kind of realize the acquisition of health account data and the system of having access to management, which is characterized in that the system includes:
Data acquisition system management module, for the data of patient to be acquired and screened according to regional health information platform；
Information view service management module is connected with the data acquisition system management module, for needing to make by oneself according to user
Justice has access to patient-related data；
Health account memory management module is connected, for storing the base of patient with the information view service management module
This personal information, basic health information of all categories and the medical data after being screened according to classification；
Front-end interface management module is connected with the information view service management module, for carrying out to the data having access to
Browsing is shown.
2. the system according to claim 1 realized the acquisition of health account data and have access to management, which is characterized in that described
Information view service management module include:
Customized demand management unit, is connected with the data acquisition system management module, has access to patient medical for customized
The rule of data, and demand is had access to according to classification storage；
Data screening administrative unit, with customized demand management unit, data acquisition system management module and the health account
Memory management module is connected, for according to the customized related data for having access to rule extraction patient of user, and to described
Patient data carries out screening combination；
Data have access to service managing unit, with customized demand management unit, data screening administrative unit and the health
Archives storage management module is connected, and combines for needing to have access to the patient data after screening combination according to user.
3. the system according to claim 1 realized the acquisition of health account data and have access to management, which is characterized in that described
Health account memory management module in the basic personal information of patient include patient name, type of credential and passport NO. three
A field.
4. the system according to claim 1 realized the acquisition of health account data and have access to management, which is characterized in that described
Health account memory management module in class categories include Birth Registration, child health care, vaccine inoculation, health care of women, disease
Sick prevention, disease control, medical services and Vital registration.
5. a kind of method realized the acquisition of health account data based on system described in claim 1 and have access to management, feature
Be, the method the following steps are included:
(1) system described in acquires medical data by data acquisition system management module；
(2) system described in has access to required patient health's medical treatment number according to user demand based on information view service management module
According to；
(3) patient data needed for the front-end interface management module described in shows user combines.
6. the method according to claim 5 realized the acquisition of health account data and have access to management, which is characterized in that described
The step of (2) specifically includes the following steps:
(2.1) system described in judges health account memory management module with the presence or absence of the patient medical after screening needed for user
Data continue step (3) if it is, the data, which have access to service managing unit, has access to relevant patient data combination；It is no
Then, continue step (2.2)
(2.2) what the customized demand management unit described in defined patient data according to the demand of user has access to rule；
(2.3) the data screening administrative unit described in is according to the medical data for having access to Rules Filtering patient；
(2.4) data described in have access to service managing unit and have access to the patient data after screening combination according to the request of user.
7. the method according to claim 6 realized the acquisition of health account data and have access to management, which is characterized in that described
The step of (2.2) specifically includes the following steps:
(2.2.1) judges that customized demand management unit has access to rule with the presence or absence of needed for the user of related category, if so,
Then continue step (2.3)；Otherwise, continue step (2.2.2)；
The medical data of the customized required related category of (2.2.2) user has access to rule；
User is customized has access to rule for the storage of (2.2.3) customized demand management unit.
8. the method according to claim 6 realized the acquisition of health account data and have access to management, which is characterized in that described
The step of (2.3) specifically includes the following steps:
Data screening administrative unit described in (2.3.1) is according to the medical data for having access to rule extraction screening patient；
The basic health information of patient medical data and related category after the screening are combined by (2.3.2) system；
Patient health's medical data after (2.3.3) health account memory management module storage screening combination.
9. the method according to claim 6 realized the acquisition of health account data and have access to management, which is characterized in that described
The step of (2) described in patient health's medical data include the basic personal information of patient, basic health information of all categories
With screened according to classification after medical data.
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN111145915A (en) * | 2019-12-31 | 2020-05-12 | 重庆医科大学附属儿童医院 | Health care follow-up visit and medical record management system for children |
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| CN105678100A (en) * | 2016-03-01 | 2016-06-15 | 万达信息股份有限公司 | Health record browsing system |
| CN107330098A (en) * | 2017-07-06 | 2017-11-07 | 北京理工大学 | A kind of querying method of self-defined report, calculate node and inquiry system |
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| CN111145915A (en) * | 2019-12-31 | 2020-05-12 | 重庆医科大学附属儿童医院 | Health care follow-up visit and medical record management system for children |
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