醫(yī)院信息化案例-互聯(lián)網+構建云上健康新生態(tài)課件

1、Intel Health & Life SciencesIntel Confidential Do Not Forward醫(yī)療健康與生命科學部 Health & Life Sciences目錄OutlineIntel Health & Life SciencesIntel Confidential Do Not Forward2健康醫(yī)療業(yè)務服務的趨勢和多樣化Healthcare Business Services: Challenges & Trend醫(yī)院業(yè)務服務的微服務化及API治理Hospital Business Services: Microservices & API Governa

2、nce區(qū)塊鏈及網絡功能微服務Blockchain and NFV as MicroservicesIntel 混合云及數(shù)據(jù)中心策略Intel Hybrid Cloud and Data Center Strategy大健康向左走，降低成本提升質量Go left to improve quality of life, reduce costAssisted LivingSkilled Nursing Facility社區(qū)Residential CareInpatient / AcuteSpecialty ClinicCommunity Hospital急診Acute Carelowhighlow

3、highhighLevel of Patient AutonomylowCost of CareQuality of LifeRemote Patient MonitoringTelemedicineIntel Health & Life SciencesIntel Confidential Do Not Forward3居家Home CarePopulation Health withSenior Care for Aging in WearablesPlaceIntel Health & Life SciencesIntel Confidential Do Not Forward醫(yī)療服務的

4、新趨勢Medical Service Trends in HealthcareIntel Health & Life SciencesIntel Confidential Do Not Forward技術催生多樣化的醫(yī)療業(yè)務形態(tài)Diversified Healthcare Business Models Driven by IT5互聯(lián)網醫(yī)院Internet Hospital遠程醫(yī)療Telemedicine醫(yī)聯(lián)體Hospital Union健康管理Health Management醫(yī)養(yǎng)結合Aging Medical Care醫(yī)藥分開Separation of Clinic From Pharma

5、cyIntel Health & Life SciencesIntel Confidential Do Not Forward互聯(lián)網+醫(yī)療健康院外服務院內服務標準 安全外聯(lián)服務StandardSafety智能 便捷 彈性Smart Speedy ScalableHealth Service through on-line and off-line慢病管理遠程醫(yī)療移動支付預約掛號術后隨訪網絡購藥微服務Microservices醫(yī)院業(yè)務應用的微服務化Hospital Business Decomposed as MicroservicesREST API掛號Registration數(shù)據(jù)庫適配器AD

6、APTERRegistration DatabaseREST API支付Payment數(shù)據(jù)庫適配器ADAPTERPayment DatabaseREST API藥房Pharma數(shù)據(jù)庫適配器ADAPTERPayment Database虛擬機實例 EC2 Instance 1DOCKER CONTAINER 容器掛號RegistrationREST APIDOCKER CONTAINER 容器掛號RegistrationREST API虛擬機實例 EC2 Instance 2DOCKER CONTAINER 容器掛號RegistrationREST APIDOCKER CONTAINER 容器掛

7、號RegistrationREST API負載均衡器Load Balancer單個微服務易于開發(fā)、理解和維護Faster to develop, much easier to understand and maintain每個服務可自由選擇開發(fā)技術單獨開發(fā)Free to choose development technologies每個服務可獨立快速部署Deployed independently and rapidly每個服務可獨立擴展Scaled independently & easily優(yōu)勢Advantages分布式系統(tǒng)中進程間通訊更復雜Complex IPC mechanism in

8、 distributed systems分區(qū)數(shù)據(jù)庫的事務一致性難保證Business transactions issue due to partitioned database服務間依賴關系影響測試和變更Test & change impacted due to dependencies among services高可用部署困難Hard to deploy for high availability不足DrawbacksIntel Health & Life SciencesIntel Confidential Do Not Forward7典型的針對患者的移動 APP 同時使用多個微服務

9、A Typical Patient Mobile APP Consumes Multiple Microservices in One Page掛號RegistrationREST API支付PaymentREST API檢查Lab TestREST API導醫(yī)GuidanceREST API候診AwaitingREST API通知NotificationREST API客戶端直接訪問微服務Direct Access to Microservices客戶端實現(xiàn)復雜Complex client side coding不能支持某些Web不友好的協(xié)議Unable to handle web-unfr

10、iendly protocols難以應對可能的服務重構Challenge to adapt to restructuring of microservicesIntel Health & Life SciencesIntel Confidential Do Not Forward8ONC關注利用APIs提供更多的健康服務ONC Focus on Improving Individuals Shopping for Their Own Care Through APIsONCs interoperability efforts focus on improving individuals abi

11、lity to control their health information so they can shop for and coordinate their own care. While many patients can access their medical information through multiple provider portals, the current ecosystem is frustrating and cumbersome.National Coordinator for Health Information Technology數(shù)據(jù)安全Data

12、SecurityIntel Health & Life SciencesIntel Confidential Do Not Forward9成本Cost新生態(tài)Echo SystemIntel Health & Life SciencesIntel Confidential Do Not ForwardAPIs的技術演進和互操作性發(fā)展Technology Evolution of APIs and Interoperability DevelopmentAPIs AccessEDI機器解讀，格式簡 單，數(shù)據(jù)共享內容 有限重量級，基于標準的互操作簡單易用的REST APISOA for Healt

13、hcare支持基于臨床數(shù)據(jù)的創(chuàng)新App應用通過數(shù)據(jù)分析提供數(shù)據(jù)服務為第三方提供標準化的數(shù)據(jù) 接口架構的變革實施復雜性能和效率在私有網絡中進行的成本高10用簡單的方法解決復雜的問題APIs將數(shù)據(jù)提供給數(shù)據(jù) 使用者以及創(chuàng)新合作 伙伴，帶來的價值遠 遠超出想象微服務APIs的部署The deployment of Microservices and APIs公有云Public健康云Public 2私有云Private醫(yī)院數(shù)據(jù)中心Hospital data center外聯(lián)平臺Outreach PlatformIntel Health & Life SciencesIntel Confidential

14、 Do Not Forward11基于 FHIR 實現(xiàn)APIs對數(shù)據(jù)標準的訪問APIs using FHIR allow applications to access data in a standardized wayREST消息Message文檔Document服務ServiceCDA FHIRFHIR 資源RESOURCESFHIR 支持不同的互操作范式The FHIR Standard Supports Multiple Interoperability ParadigmsHL7 CDA XDSIntel Health & Life SciencesIntel Confidential

15、 Do Not Forward12通過 API 網關管理 API 的使用Manage API Consumption Through API Gateway簡化通訊simplify client-service communication簡化客戶端代碼simplify client-side coding挑戰(zhàn)Bad又一個高可用組件new component developed成為更新瓶頸bottleneck when add service pointsAPI網關GATEWAYREST API請求轉 發(fā)與合 成Request routing, composition協(xié)議轉換Protocol t

16、ranslationFHIR CDA/XDS/HL7認證和授權Authentication & access control監(jiān)控Health check & monitoring負載均衡Load balancing緩存CachingCache policies請求分 片和管 理Request shaping & management靜態(tài)響應處理Static response handling高性能/高可用/ 可擴展High performance, availability, scalability支持各種異步和同步通信機制Support various inter- process comm

17、unication mechanism支持服務注冊與發(fā)現(xiàn)Support service registration and discovery故障處理Fault handling優(yōu)勢GoodIntel Health & Life SciencesIntel Confidential Do Not Forward13交換機/路由器/防火墻 Switch/Router/Firewall醫(yī)院外網Hospital InternalNetwork醫(yī)院SaaS 服務Hospital SaaS Services醫(yī)院業(yè)務微服務及APIs網絡拓撲A Hospital Microservice Network Di

18、agram醫(yī)院內網Hospital Internal NetworkDMZ 區(qū)域外部客戶端ClientsAPI網關GATEWAYREST API支付PaymentREST APIHIS掛號REST RegistrationAPI智能診斷Image AIREST API門診OutpatientREST API醫(yī)囑REST Medical OrderAPI基層PACSPrimary Care PACS醫(yī)生DoctorWeb UI醫(yī)院門戶HospitalPortal患者主索引REST Patient IdentityAPIEMR第三方系統(tǒng)/服務 3rd Party Services銀聯(lián)UnionPa

19、y醫(yī)保Insurance健康卡Health CardVPNDDNDDN語音服務NLPInternet醫(yī)藥采購Pharma醫(yī)聯(lián)體Hospital Union遠程醫(yī)療Telemedicine疾控CDCIntel Health & Life SciencesIntel Confidential Do Not Forward14基于SGX的聯(lián)盟鏈保障高性能可信交易和數(shù)據(jù)安全SGX-Based High Performance & Trustworthy Consortium BlockchainAPI網關GATEWAYREST API區(qū)塊鏈節(jié)點Blockchain Node區(qū)塊鏈節(jié)點Blockchai

20、n Node區(qū)塊鏈節(jié)點Blockchain Node醫(yī)生Doctor患者Patient基層醫(yī)院Primary Care Hospitals區(qū)塊鏈基礎設施Blockchain Infrastructure掛號RegistrationREST API區(qū)塊鏈BLOCKCHAINREST APIScalabilityTypical Consensus私鑰管理Secure key mgmt. (private key storage)Intel Health & Life SciencesIntel Confidential Do Not Forward15遠程證據(jù)Trust(remote attest

21、ation)共識Consensus (efficientblock-leader election)隱私Privacy (data protection from 3rd parties)醫(yī)學影像區(qū)域網絡邊緣智能A Medical Image Fog Network Scenario三級醫(yī)院 L3 HospitalPACS二級醫(yī)院 L2 Hospital(區(qū)域) 醫(yī)學影像中心(Regional) Medical Image Cloud/Center(區(qū)域) 醫(yī)學影像中心(Regional) Medical Image Cloud/Center(區(qū)域) 醫(yī)學影像中心(Regional) Medi

22、cal Image Cloud/Center區(qū)域人口健康平臺(Regional) Population Health Platform影像AI服務器Medical Image AI Server影像工作站PACS WorkstationPACS服務器PACS ServerDICOM網關DICOM GatewayPACS影像工作站PACS WorkstationPACS服務器PACS ServerFF影像AI服務器Medical Image AI ServerFDICOM網關DICOM GatewayF影像瀏覽器DICOM Viewer診所Clinics體檢機構Physical Exam分級診療

23、Intel Health & Life SciencesIntel Confidential Do Not Forward16Tiered Diagnosis醫(yī)聯(lián)體Hospital Union互聯(lián)網影像云服務Public Medical Image Cloud健康體檢Physical ExamIntel Health & Life SciencesIntel Confidential Do Not ForwardSDN / NFV專用網絡硬件Dedicated Network HW虛擬網絡 敏捷安全動態(tài)配置Virtualized Network - Agile, Secure and Dyna

24、mic Provisioning防火墻FirewallVPN入侵監(jiān)測系統(tǒng)Intrusion Detection SystemSDN/NFV基礎設施TEM/OEM專有OSASIC, DSP,FPGA, ASSP至強處理器網卡加速卡SwitchSilicon開源服務器是新一代網絡平臺Enabling the Server to Become the New Networking Platform防火墻Firewall虛擬專網VPN客戶終端設備CPE深度包檢測DPI分組數(shù)據(jù)網關PDG軟件定義架構(SDI)的部署Deploy Software-Defined InfrastructureService

25、 OrchestrationCompute ControllerPolicy-Based AutomationSelf-Service PortalNetwork ControllerStorage ControllerSecurity ControllerServersVirtualizationInfrastructure PoolVMsVirtual RouterVirtual FirewallVirtual VPNVirtual SANScale Out StorageLegacyStorageInfrastructure AttributesContainersPowerPerfor

26、manceThermalsUtilizationLocationLatencyDurabilitySecurity集中式自動化Centralized and Automated平臺能力Platform Capability池化、虛擬化資源Aware Pooled, Virtualized Resources現(xiàn)成的服務器平臺Readily Available Server-based Platforms已有系統(tǒng)的可容納性Accommodates LegacyIntel Health & Life SciencesIntel Confidential Do Not Forward18結合具體情況，

27、選擇最適合的SDI模式Choose the Best SDI Model For Your Use Case高可擴展性：提升單個組件如 何以及何時擴展性和靈活性Highly Scalable: Increased flexibility with how and when individual components are scaledVirtualizationCertified factory built超融合Hyper-ConvergedHardwareComponents pre-integrated and optimized in appliance by vendorVirtua

28、lizationCertified factory built融合ConvergedHardwareIndividual components integrated by end userVirtualizationCertified compute, networkand storage傳統(tǒng)ITTraditional IT有限的可擴展性Limited scalabilityHardwareSilo d infrastructureComputeNetworkStorage高可擴展性：最大化集成以增 加規(guī)模和部署Highly Scalable: Maximum integration for

29、easy scale and deploymentIntel Health & Life SciencesIntel Confidential Do Not Forward19英特爾助力企業(yè)混合云戰(zhàn)略Why Intel on Hybrid Cloud?攜手英特爾，改變今天，共創(chuàng)明天Lets us help you transform today and prepare for tomorrow云計算核心 的領導者Cloud Leadership企業(yè)IT實踐Enterprise IT Experience獨一無二的合作伙伴Unique PartnerIntel Health & Life SciencesIntel Confidential Do Not Forward20英特爾至強可擴展處理器是全球云計算的核心Intel powers the cloud