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目錄
第1 章公司簡(jiǎn)介.................................................................................................................................................7
1.1 公司簡(jiǎn)介.................................................................................................................................................7
1.2 公司榮譽(yù).................................................................................................................................................8
1.3 公司競(jìng)爭(zhēng)力...........................................................................................................................................11
1.3.1 完整的產(chǎn)品線滿足項(xiàng)目多層次需求...........................................................................................11
1.3.2 全線產(chǎn)品都具有獨(dú)立自主知識(shí)產(chǎn)品...........................................................................................12
1.3.3 完善的產(chǎn)品開發(fā)控制與質(zhì)量保障體系.......................................................................................12
1.3.4 完善的項(xiàng)目實(shí)施質(zhì)量保障體系...................................................................................................12
1.3.5 完善的服務(wù)保障體系...................................................................................................................16
1.4 典型案例...............................................................................................................................................16
1.4.1 區(qū)域公共衛(wèi)生...............................................................................................................................16
1.4.2 區(qū)域社區(qū)衛(wèi)生...............................................................................................................................17
1.4.3 區(qū)域衛(wèi)生整合...............................................................................................................................17
1.4.4 醫(yī)院案例...................................................................................................................................... 18
第2 章項(xiàng)目概述...............................................................................................................................................19
2.1 項(xiàng)目背景...............................................................................................................................................20
2.2 項(xiàng)目目標(biāo)...............................................................................................................................................21
2.3 項(xiàng)目?jī)?nèi)容...............................................................................................................................................22
2.4 項(xiàng)目重點(diǎn)、難點(diǎn)...................................................................................................................................23
2.4.1 多方衛(wèi)生信息資源整合，構(gòu)建區(qū)域衛(wèi)生信息整合平臺(tái)........................................................... 23
2.4.2 以健康檔案為核心，建立EHR 電子健康檔案共享平臺(tái)........................................................... 23
2.4.3 利用區(qū)域衛(wèi)生資源整合基礎(chǔ)，實(shí)現(xiàn)區(qū)域醫(yī)療衛(wèi)生信息的共享與協(xié)同管理........................... 23
2.4.4 從公共衛(wèi)生服務(wù)需求出發(fā)，建立公共衛(wèi)生業(yè)務(wù)管理平臺(tái)....................................................... 23
2.4.5 滿足衛(wèi)生行政管理部門需求，實(shí)現(xiàn)綜合衛(wèi)生信息管理統(tǒng)計(jì)與分析決策............................... 24
2.4.6 基于區(qū)域衛(wèi)生信息平臺(tái)，構(gòu)建公共衛(wèi)生事件應(yīng)急指揮體系................................................... 24
第3 章項(xiàng)目分析...............................................................................................................................................25
3.1 衛(wèi)生信息化現(xiàn)狀...................................................................................................................................25
3.2 衛(wèi)生信息化現(xiàn)狀分析........................................................................................................................... 25
3.3 區(qū)域衛(wèi)生信息平臺(tái)用戶分析............................................................................................................... 25
3.4 區(qū)域衛(wèi)生信息化業(yè)務(wù)需求分析........................................................................................................... 26
3.4.1 醫(yī)療衛(wèi)生服務(wù)的需求...................................................................................................................26
3.4.2 社區(qū)衛(wèi)生服務(wù)的需求...................................................................................................................27
3.4.3 公共衛(wèi)生服務(wù)的需求...................................................................................................................28
3.4.4 綜合衛(wèi)生管理的需求...................................................................................................................28
3.5 新一輪醫(yī)改要求的需求分析............................................................................................................... 30
第4 章項(xiàng)目總體設(shè)計(jì).......................................................................................................................................31
4.1 系統(tǒng)設(shè)計(jì)原則.......................................................................................................................................31
4.2 業(yè)務(wù)體系設(shè)計(jì).......................................................................................................................................33
常州市區(qū)域衛(wèi)生信息系統(tǒng)工程項(xiàng)目總體設(shè)計(jì)方案
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4.2.1 衛(wèi)生服務(wù)體系...............................................................................................................................33
4.2.2 衛(wèi)生服務(wù)整合...............................................................................................................................34
4.2.3 衛(wèi)生管理...................................................................................................................................... 35
4.3 總體設(shè)計(jì)、分析方法........................................................................................................................... 36
4.3.1 基于SOA 的分析方法...................................................................................................................36
4.3.2 系統(tǒng)架構(gòu)設(shè)計(jì)方法.......................................................................................................................37
4.4 總體構(gòu)架設(shè)計(jì).......................................................................................................................................38
4.5 網(wǎng)絡(luò)結(jié)構(gòu)設(shè)計(jì).......................................................................................................................................41
4.6 部署模式設(shè)計(jì).......................................................................................................................................43
第5 章項(xiàng)目詳細(xì)設(shè)計(jì).......................................................................................................................................45
5.1 區(qū)域衛(wèi)生信息平臺(tái)設(shè)計(jì)....................................................................................................................... 45
5.1.1 平臺(tái)邏輯架構(gòu)...............................................................................................................................45
5.1.2 平臺(tái)總體設(shè)計(jì)...............................................................................................................................47
5.1.3 平臺(tái)交換設(shè)計(jì)...............................................................................................................................48
5.1.4 平臺(tái)接口設(shè)計(jì)...............................................................................................................................51
5.1.5 數(shù)據(jù)服務(wù)設(shè)計(jì)...............................................................................................................................53
5.1.6 平臺(tái)管理功能設(shè)計(jì).......................................................................................................................58
5.2 區(qū)域衛(wèi)生數(shù)據(jù)中心設(shè)計(jì)....................................................................................................................... 59
5.2.1 設(shè)計(jì)原則...................................................................................................................................... 59
5.2.2 總體設(shè)計(jì)...................................................................................................................................... 60
5.2.3 分庫簡(jiǎn)介...................................................................................................................................... 60
5.3 應(yīng)用支撐平臺(tái)設(shè)計(jì)............................................................................................................................... 61
5.3.1 支撐平臺(tái)架構(gòu)...............................................................................................................................62
5.3.2 主要相關(guān)支撐系統(tǒng).......................................................................................................................63
5.4 系統(tǒng)核心技術(shù)概述............................................................................................................................... 75
5.4.1 采用SOA 總體架構(gòu).......................................................................................................................75
5.4.2 面向?qū)ο蟮某绦蜷_發(fā)...................................................................................................................76
5.4.3 采用基于J2EE 的三層應(yīng)用體系結(jié)構(gòu).........................................................................................76
5.4.4 以統(tǒng)一的集成平臺(tái)為基礎(chǔ)實(shí)現(xiàn)多種集成方式........................................................................... 77
5.4.5 基于Web Services 技術(shù)實(shí)現(xiàn)接口建設(shè).....................................................................................78
5.4.6 總體設(shè)計(jì)遵循MVC 設(shè)計(jì)模式.......................................................................................................78
5.5 系統(tǒng)基礎(chǔ)軟件平臺(tái)............................................................................................................................... 79
5.5.1 操作系統(tǒng)...................................................................................................................................... 79
5.5.2 數(shù)據(jù)庫系統(tǒng).................................................................................................................................. 80
5.5.3 中間件系統(tǒng).................................................................................................................................. 80
5.5.4 BI 技術(shù)（建議）..........................................................................................................................80
第6 章基礎(chǔ)設(shè)施平臺(tái)設(shè)計(jì)...............................................................................................................................81
6.1 衛(wèi)生信息網(wǎng)網(wǎng)絡(luò)建設(shè)........................................................................................................................... 81
6.1.1 信息網(wǎng)接入建設(shè)建議...................................................................................................................81
6.1.2 分支節(jié)點(diǎn)建設(shè)建議.......................................................................................................................82
6.2 衛(wèi)生數(shù)據(jù)中心建設(shè)建議....................................................................................................................... 82
6.2.1 衛(wèi)生數(shù)據(jù)中心局域網(wǎng)系統(tǒng)建設(shè)建議...........................................................................................82
常州市區(qū)域衛(wèi)生信息系統(tǒng)工程項(xiàng)目總體設(shè)計(jì)方案
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6.2.2 衛(wèi)生數(shù)據(jù)中心主機(jī)系統(tǒng)建設(shè).......................................................................................................83
6.2.3 衛(wèi)生數(shù)據(jù)中心網(wǎng)絡(luò)安全系統(tǒng)建設(shè)...............................................................................................84
第7 章標(biāo)準(zhǔn)規(guī)范體系設(shè)計(jì)...............................................................................................................................86
7.1 區(qū)域衛(wèi)生信息化規(guī)范標(biāo)準(zhǔn)的建立....................................................................................................... 86
7.1.1 標(biāo)準(zhǔn)體系制定原則.......................................................................................................................86
7.1.2 標(biāo)準(zhǔn)體系制定要求.......................................................................................................................87
7.2 區(qū)域衛(wèi)生信息化標(biāo)準(zhǔn)規(guī)范框架體系................................................................................................... 87
7.2.1 總體標(biāo)準(zhǔn)框架...............................................................................................................................88
7.2.2 應(yīng)用規(guī)范...................................................................................................................................... 88
7.2.3 應(yīng)用支撐規(guī)范...............................................................................................................................89
7.2.4 管理規(guī)范...................................................................................................................................... 93
7.2.5 安全規(guī)范...................................................................................................................................... 95
7.3 遵循或借鑒的標(biāo)準(zhǔn)規(guī)范....................................................................................................................... 97
7.3.1 國家衛(wèi)生部出臺(tái)的衛(wèi)生信息化規(guī)范...........................................................................................97
7.3.2 軟件工程相關(guān)規(guī)范.......................................................................................................................98
第8 章應(yīng)用系統(tǒng)設(shè)計(jì).......................................................................................................................................99
8.1 區(qū)域衛(wèi)生信息平臺(tái)............................................................................................................................... 99
8.1.1 平臺(tái)部署模型...............................................................................................................................99
8.1.2 平臺(tái)部署概述...............................................................................................................................99
8.1.3 平臺(tái)構(gòu)件概述.............................................................................................................................100
8.1.4 平臺(tái)管理概述.............................................................................................................................102
8.2 區(qū)域衛(wèi)生數(shù)據(jù)中心............................................................................................................................. 103
8.2.1 數(shù)據(jù)中心主要功用.....................................................................................................................103
8.2.2 數(shù)據(jù)中心數(shù)據(jù)庫組成.................................................................................................................103
8.2.3 數(shù)據(jù)中心管理功能.....................................................................................................................104
8.3 社區(qū)衛(wèi)生信息系統(tǒng)............................................................................................................................. 105
8.3.1 健康檔案管理.............................................................................................................................105
8.3.2 計(jì)劃免疫.................................................................................................................................... 111
8.3.3 慢性病管理................................................................................................................................ 115
8.3.4 婦女保健.................................................................................................................................... 130
8.3.5 兒童保健.................................................................................................................................... 142
8.3.6 健康教育與促進(jìn).........................................................................................................................151
8.3.7 家庭病床管理.............................................................................................................................153
8.3.8 綜合管理與統(tǒng)計(jì).........................................................................................................................158
8.3.9 報(bào)表管理.................................................................................................................................... 162
8.3.10 系統(tǒng)管理................................................................................................................................ 163
8.3.11 平臺(tái)管理................................................................................................................................ 164
8.4 新農(nóng)合信息系統(tǒng).................................................................................................................................164
8.4.1 參合管理.................................................................................................................................... 164
8.4.2 補(bǔ)償管理.................................................................................................................................... 170
8.4.3 基金管理.................................................................................................................................... 173
8.4.4 統(tǒng)計(jì)報(bào)表.................................................................................................................................... 175
常州市區(qū)域衛(wèi)生信息系統(tǒng)工程項(xiàng)目總體設(shè)計(jì)方案
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8.4.5 配置維護(hù).................................................................................................................................... 180
8.4.6 實(shí)時(shí)結(jié)算設(shè)計(jì).............................................................................................................................181
8.5 數(shù)字化醫(yī)院系統(tǒng).................................................................................................................................184
8.5.1 HIS 系統(tǒng)..................................................................................................................................... 184
8.5.2 LIS 系統(tǒng)..................................................................................................................................... 236
8.5.3 RIS 系統(tǒng)..................................................................................................................................... 263
8.5.4 PACS 系統(tǒng)................................................................................................................................... 271
8.5.5 區(qū)域結(jié)構(gòu)化電子病歷.................................................................................................................290
8.6 公共衛(wèi)生信息系統(tǒng)............................................................................................................................. 302
8.6.1 疾病預(yù)防控制信息系統(tǒng).............................................................................................................302
8.6.2 衛(wèi)生監(jiān)督管理信息系統(tǒng).............................................................................................................307
8.6.3 醫(yī)療救治管理信息系統(tǒng).............................................................................................................309
8.6.4 婦幼保健管理信息系統(tǒng).............................................................................................................311
8.6.5 血液管理信息系統(tǒng).....................................................................................................................315
8.7 突發(fā)公共衛(wèi)生應(yīng)急指揮信息系統(tǒng)..................................................................................................... 317
8.7.1 目標(biāo)............................................................................................................................................ 317
8.7.2 系統(tǒng)需求.................................................................................................................................... 318
8.7.3 應(yīng)急指揮信息系統(tǒng)的建設(shè)內(nèi)容.................................................................................................322
8.7.4 總體設(shè)計(jì)方案及技術(shù)路線.........................................................................................................323
8.7.5 建設(shè)的技術(shù)方法.........................................................................................................................330
8.7.6 基礎(chǔ)數(shù)據(jù)庫系統(tǒng).........................................................................................................................331
8.7.7 地理信息系統(tǒng).............................................................................................................................334
8.7.8 決策支持系統(tǒng).............................................................................................................................336
8.8 醫(yī)療業(yè)務(wù)協(xié)同系統(tǒng)............................................................................................................................. 340
8.8.1 雙向轉(zhuǎn)診.................................................................................................................................... 340
8.8.2 EHR 調(diào)閱平臺(tái)..............................................................................................................................344
8.9 衛(wèi)生分析與決策系統(tǒng)......................................................................................................................... 349
8.10 衛(wèi)生信息采集與整合系統(tǒng).............................................................................................................353
8.10.1 轄區(qū)內(nèi)機(jī)構(gòu)或下屬平臺(tái)接入方案.........................................................................................353
8.10.2 接入上級(jí)衛(wèi)生信息平臺(tái)方案.................................................................................................354
第9 章安全體系設(shè)計(jì).....................................................................................................................................355
9.1 安全設(shè)計(jì)目標(biāo).....................................................................................................................................355
9.2 整體安全架構(gòu).....................................................................................................................................355
9.3 物理安全規(guī)劃.....................................................................................................................................357
9.4 網(wǎng)絡(luò)安全規(guī)劃.....................................................................................................................................357
9.4.1 網(wǎng)絡(luò)安全域規(guī)劃.........................................................................................................................357
9.4.2 入侵檢測(cè)系統(tǒng)規(guī)劃.....................................................................................................................358
9.5 系統(tǒng)安全規(guī)劃.....................................................................................................................................359
9.5.1 操作系統(tǒng)安全規(guī)劃.....................................................................................................................359
9.5.2 主機(jī)防護(hù)安全規(guī)劃.....................................................................................................................359
9.5.3 病毒防護(hù)安全規(guī)劃.....................................................................................................................360
9.5.4 漏洞掃描安全規(guī)劃.....................................................................................................................361
9.5.5 網(wǎng)頁防篡改安全規(guī)劃.................................................................................................................361
常州市區(qū)域衛(wèi)生信息系統(tǒng)工程項(xiàng)目總體設(shè)計(jì)方案
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9.6 應(yīng)用安全體系規(guī)劃............................................................................................................................. 362
9.6.1 應(yīng)用審計(jì)安全規(guī)劃.....................................................................................................................362
9.6.2 數(shù)據(jù)庫安全機(jī)制.........................................................................................................................362
9.6.3 PKI 技術(shù)的應(yīng)用..........................................................................................................................363
9.7 安全管理體系規(guī)劃............................................................................................................................. 365
9.7.1 安全管理總則.............................................................................................................................365
9.7.2 安全管理平臺(tái)設(shè)計(jì).....................................................................................................................365
9.7.3 安全管理機(jī)構(gòu)建議.....................................................................................................................366
9.7.4 安全管理制度建議.....................................................................................................................367
第10 章運(yùn)維管理體系設(shè)計(jì)（ITIL）.........................................................................................................368
10.1 IT 運(yùn)維管理體系................................................................................................................................368
10.2 IT 運(yùn)維管理內(nèi)容...............................................................................................................................368
10.3 IT 運(yùn)維管理技術(shù)...............................................................................................................................369
10.4 IT 運(yùn)維管理重點(diǎn)................................................................................................................................372
常州市區(qū)域衛(wèi)生信息系統(tǒng)工程項(xiàng)目總體設(shè)計(jì)方案
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第1章公司簡(jiǎn)介
1.1 公司簡(jiǎn)介
上海金仕達(dá)衛(wèi)寧軟件股份有限公司是一家專業(yè)從事醫(yī)療衛(wèi)生領(lǐng)域信息化、數(shù)字化軟件研究與開
發(fā)的高科技企業(yè)，公司現(xiàn)有開發(fā)、服務(wù)、銷售、管理等各類員工500 多人。早在1992 年，公司前身
便已成功地開發(fā)出實(shí)驗(yàn)室信息系統(tǒng)（LIS）；1993 年初公司開始發(fā)展醫(yī)院信息系統(tǒng)軟件（HIS）；1996
年底開始研究醫(yī)院醫(yī)學(xué)影像系統(tǒng)（PACS、RIS）應(yīng)用；2001 年在上海市嘉定區(qū)成功實(shí)施了國內(nèi)第一
個(gè)社區(qū)衛(wèi)生管理系統(tǒng)（CHSS）；2003 年開發(fā)并推廣上海市新型農(nóng)村醫(yī)療管理系統(tǒng)（RCMIS）；2003 年
開發(fā)醫(yī)院體檢管理系統(tǒng)（PEMIS）；2004 年完成了結(jié)構(gòu)化電子病歷系統(tǒng)（EPR）的設(shè)計(jì)開發(fā)，成為國
內(nèi)唯一同時(shí)擁有HIS、LIS、RIS/PACS、EPR、PEMIS、RCMIS 及CHSS 等自主知識(shí)產(chǎn)權(quán)的專業(yè)醫(yī)療信息
產(chǎn)業(yè)骨干企業(yè)。公司注重“以人為本”的理念，積極探索和實(shí)踐醫(yī)院信息管理自動(dòng)化、數(shù)字化、網(wǎng)
絡(luò)化管理模式，追求高效，倡導(dǎo)以“打造全面的醫(yī)療行業(yè)解決方案”為核心的企業(yè)文化。
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