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体检信息系统与医院信息的流转
- 2023-01-04
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The link between physical examination information system and his system
由于医院体检信息是独立的数据库，同时根据医院的要求以及数据管理上的一致性，体检信息系统的信息必须要能在HIS数据库中体现出来。具体体现在以下几个方面：
As the medical examination information of the hospital is an independent database, and according to the requirements of the hospital and the consistency of data management, the information of the medical examination information system must be reflected in the HIS database. It is embodied in the following aspects:
1）病人的基本信息。病人来体检中心登记，录入病人的基本信息，这时体检信息系统在保存数据的同时还要存取一份数据HIS数据库中，这样在医院数据中病人主索引记录也就存在了体检信息中的数据，在日后进行数据统计，例如工作量统计中就能保持数据的准确性。
1) Basic information of the patient. The patient registers in the physical examination center and enters the basic information of the patient. At this time, the physical examination information system also accesses a copy of the data to the HIS database while saving the data. In this way, the patient master index record in the hospital data also contains the data in the physical examination information, which can be kept accurate in future data statistics, such as workload statistics.
2）检查与检验申请信息。病人在体检系统中登记了检查与检验的申请信息，在医院中，进行检验的科室是临检中心，进行检查的科室是放射科，检验与检查的申请信息必须存储到LIS和PACS信息系统中。LIS和PACS从HIS数据库中相应的表中去提取数据，然后得出的结果再回传给HIS中相应的结果表中。鉴于医院的现有工作模式与数据流向以及数据库间规范与一致的问题，体检信息系统中登记了相应的申请信息以后，同时将数据发送到HIS数据中，LIS与PACS再从HIS数据库中提取信息，得到的结果回传给HIS以后，体检信息系统再从HIS中去提取回传的数据。
2) Inspection and inspection request information. The patient has registered the application information of examination and examination in the physical examination system. In the hospital, the department conducting the examination is the clinical examination center, and the department conducting the examination is the radiology department. The application information of examination and examination must be stored in LIS and PACS information systems. LIS and PACS extract data from the corresponding tables in the HIS database, and then the results are returned to the corresponding result tables in HIS. In view of the existing working mode and data flow of the hospital, as well as the standardization and consistency between databases, after registering the corresponding application information in the medical examination information system, the data will be sent to the HIS data at the same time. LIS and PACS will extract the information from the HIS database. After the results are returned to HIS, the medical examination information system will extract the returned data from HIS.
3）收费信息。体检信息系统中的收费项目必须与HIS中价表的数据保持一致，一旦HIS数据库中价表信息发生变化，相应的体检信息系统中的价表信息也要随之改变。在体检信息系统中生成的收费信息也必须回传HIS数据库中利于医院财务部门统计。由于收费信息涉及到结账等信息，在HIS中与费用相关的数据比较复杂，我院应用HIS的收费程序去进行收费。收费完成后标记一个收费完成标识，体检信息系统获得这个标识后再进行病人进行体检流程服务。
3) Charging information. The charging items in the medical examination information system must be consistent with the price list data in HIS. Once the price list information in HIS database changes, the price list information in the corresponding medical examination information system will also change. The charging information generated in the physical examination information system must also be returned to the HIS database for the hospital financial department to make statistics. As the charging information involves information such as settlement, and the data related to fees in HIS is relatively complex, our hospital applies HIS charging procedures to charge. After the charging is completed, a charging completion mark will be marked, and the physical examination information system will carry out the physical examination process service for patients after obtaining this mark.
4）病人就诊记录信息。病人在体检中心的一次体检记录，对医院而言，相当于一次门诊工作量，为了更好的统计工作量，做好统计决策工作，病人的每一次体检记录映射到HIS数据库中的一次就诊信息。这样也就保证了数据的一致性。
4) Patient visit record information. A physical examination record of a patient in the physical examination center is equivalent to an outpatient workload for the hospital. In order to better count the workload and make statistical decisions, each physical examination record of a patient is mapped to a visit information in the HIS database. This also ensures data consistency.
2.2体检信息系统与LIS系统的链接
2.2 Link between physical examination information system and LIS system
医院所有的信息都要存储到HIS数据库中去，所以检验申请信息要先传送给HIS数据库，LIS再从HIS数据库中提取走相关信息，待检验结果出来后，回传给HIS数据库。体检信息系统在这里建有一个LIS接口模块，在后台服务器上运行去监控回传的数据，一旦发现有体检中心的结果数据，及时提取保存，也实现了数据的实时性。
All the information of the hospital shall be stored in the HIS database, so the inspection application information shall be transmitted to the HIS database first, and then the LIS shall extract the relevant information from the HIS database. After the inspection results are obtained, they shall be returned to the HIS database. The physical examination information system has a LIS interface module built here, which runs on the background server to monitor the returned data. Once the result data of the physical examination center is found, it can be extracted and saved in time, which also realizes the real-time data.
2.3体检信息系统与PACS系统的链接
2.3 Link between medical examination information system and PACS system
HIS与PACS得链接基本类似，但是由于PACS存取的是大量的图片信息，在保证数据流程不变的情况下，PACS的影象信息仍旧存在于原PACS数据库中，只有检查的文字结果信息回传体检信息系统。在体检报告中所附的影像图片仍旧来源于PACS信息系统。
The links of HIS and PACS are basically similar. However, since PACS accesses a large amount of picture information, the image information of PACS still exists in the original PACS database under the condition that the data flow remains unchanged, and only the text result information of the check is returned to the medical examination information system. The images attached at the end of the physical examination report are still from the PACS information system.
3总结
3 Summary
该文对检信息系统与我院HIS系统，LIS系统，PACS系统之间的数据融合，数据传输，业务流程进行剖析，分析了系统之间的关系以及实现方法。各个系统之间数据传输与交互的原则就是以医院HIS系统为基础，以HIS系统为中间媒介，各个系统之间通过HIS数据库来进行交互，这样既保证了数据的标准性与一致性，也保证了信息传输的可行性，同时将各个系统之间的信息交互的矛盾转化到各系统与HIS之间的矛盾，简化了矛盾，也实现了各系统之间的独立性，减少了其互相依赖性，极大的利于后期的维护。
This paper analyzes the data fusion, data transmission and business process between the inspection information system and our HIS system, LIS system and PACS system, and analyzes the relationship between the systems and the implementation method. The principle of data transmission and interaction between various systems is to take HIS system of the hospital as the basis, HIS system as the intermediary, and all systems interact through HIS database, which not only ensures the standardization and consistency of data, but also ensures the feasibility of information transmission. At the same time, the contradiction of information interaction between various systems is transformed into the contradiction between various systems and HIS, simplifying the contradiction, It also realizes the independence between systems, reduces their interdependence, and is greatly conducive to later maintenance.
参考文献：
reference:
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