醫(yī)院信息化案例-互聯(lián)網(wǎng)+構(gòu)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(xué)部 Health & Life Sciences目錄OutlineIntel Health & Life SciencesIntel Confidential Do Not Forward2健康醫(yī)療業(yè)務(wù)服務(wù)的趨勢(shì)和多樣化Healthcare Business Services: Challenges & Trend醫(yī)院業(yè)務(wù)服務(wù)的微服務(wù)化及API治理Hospital Business Services: Microservices & API Governa

2、nce區(qū)塊鏈及網(wǎng)絡(luò)功能微服務(wù)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(zhì)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(wù)的

4、新趨勢(shì)Medical Service Trends in HealthcareIntel Health & Life SciencesIntel Confidential Do Not Forward技術(shù)催生多樣化的醫(yī)療業(yè)務(wù)形態(tài)Diversified Healthcare Business Models Driven by IT5互聯(lián)網(wǎng)醫(yī)院Internet Hospital遠(yuǎn)程醫(yī)療Telemedicine醫(yī)聯(lián)體Hospital Union健康管理Health Management醫(yī)養(yǎng)結(jié)合Aging Medical Care醫(yī)藥分開(kāi)Separation of Clinic From Pharma

5、cyIntel Health & Life SciencesIntel Confidential Do Not Forward互聯(lián)網(wǎng)+醫(yī)療健康院外服務(wù)院內(nèi)服務(wù)標(biāo)準(zhǔn) 安全外聯(lián)服務(wù)StandardSafety智能 便捷 彈性Smart Speedy ScalableHealth Service through on-line and off-line慢病管理遠(yuǎn)程醫(yī)療移動(dòng)支付預(yù)約掛號(hào)術(shù)后隨訪網(wǎng)絡(luò)購(gòu)藥微服務(wù)Microservices醫(yī)院業(yè)務(wù)應(yīng)用的微服務(wù)化Hospital Business Decomposed as MicroservicesREST API掛號(hào)Registration數(shù)據(jù)庫(kù)適配器AD

6、APTERRegistration DatabaseREST API支付Payment數(shù)據(jù)庫(kù)適配器ADAPTERPayment DatabaseREST API藥房Pharma數(shù)據(jù)庫(kù)適配器ADAPTERPayment Database虛擬機(jī)實(shí)例 EC2 Instance 1DOCKER CONTAINER 容器掛號(hào)RegistrationREST APIDOCKER CONTAINER 容器掛號(hào)RegistrationREST API虛擬機(jī)實(shí)例 EC2 Instance 2DOCKER CONTAINER 容器掛號(hào)RegistrationREST APIDOCKER CONTAINER 容器掛

7、號(hào)RegistrationREST API負(fù)載均衡器Load Balancer單個(gè)微服務(wù)易于開(kāi)發(fā)、理解和維護(hù)Faster to develop, much easier to understand and maintain每個(gè)服務(wù)可自由選擇開(kāi)發(fā)技術(shù)單獨(dú)開(kāi)發(fā)Free to choose development technologies每個(gè)服務(wù)可獨(dú)立快速部署Deployed independently and rapidly每個(gè)服務(wù)可獨(dú)立擴(kuò)展Scaled independently & easily優(yōu)勢(shì)Advantages分布式系統(tǒng)中進(jìn)程間通訊更復(fù)雜Complex IPC mechanism in

8、 distributed systems分區(qū)數(shù)據(jù)庫(kù)的事務(wù)一致性難保證Business transactions issue due to partitioned database服務(wù)間依賴(lài)關(guān)系影響測(cè)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(duì)患者的移動(dòng) APP 同時(shí)使用多個(gè)微服務(wù)

9、A Typical Patient Mobile APP Consumes Multiple Microservices in One Page掛號(hào)RegistrationREST API支付PaymentREST API檢查L(zhǎng)ab TestREST API導(dǎo)醫(yī)GuidanceREST API候診AwaitingREST API通知NotificationREST API客戶(hù)端直接訪問(wèn)微服務(wù)Direct Access to Microservices客戶(hù)端實(shí)現(xiàn)復(fù)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(yīng)對(duì)可能的服務(wù)重構(gòu)Challenge to adapt to restructuring of microservicesIntel Health & Life SciencesIntel Confidential Do Not Forward8ONC關(guān)注利用APIs提供更多的健康服務(wù)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(shù)演進(jìn)和互操作性發(fā)展Technology Evolution of APIs and Interoperability DevelopmentAPIs AccessEDI機(jī)器解讀，格式簡(jiǎn) 單，數(shù)據(jù)共享內(nèi)容 有限重量級(jí)，基于標(biāo)準(zhǔn)的互操作簡(jiǎn)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(yīng)用通過(guò)數(shù)據(jù)分析提供數(shù)據(jù)服務(wù)為第三方提供標(biāo)準(zhǔn)化的數(shù)據(jù) 接口架構(gòu)的變革實(shí)施復(fù)雜性能和效率在私有網(wǎng)絡(luò)中進(jìn)行的成本高10用簡(jiǎn)單的方法解決復(fù)雜的問(wèn)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(lái)的價(jià)值遠(yuǎn) 遠(yuǎn)超出想象微服務(wù)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(tái)Outreach PlatformIntel Health & Life SciencesIntel Confidential

14、 Do Not Forward11基于 FHIR 實(shí)現(xiàn)APIs對(duì)數(shù)據(jù)標(biāo)準(zhǔn)的訪問(wèn)APIs using FHIR allow applications to access data in a standardized wayREST消息Message文檔Document服務(wù)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(guò) API 網(wǎng)關(guān)管理 API 的使用Manage API Consumption Through API Gateway簡(jiǎn)化通訊simplify client-service communication簡(jiǎn)化客戶(hù)端代碼simplify client-side coding挑戰(zhàn)Bad又一個(gè)高可用組件new component developed成為更新瓶頸bottleneck when add service pointsAPI網(wǎng)關(guān)GATEWAYREST API請(qǐng)求轉(zhuǎn) 發(fā)與合 成Request routing, composition協(xié)議轉(zhuǎn)換Protocol t

16、ranslationFHIR CDA/XDS/HL7認(rèn)證和授權(quán)Authentication & access control監(jiān)控Health check & monitoring負(fù)載均衡Load balancing緩存CachingCache policies請(qǐng)求分 片和管 理Request shaping & management靜態(tài)響應(yīng)處理Static response handling高性能/高可用/ 可擴(kuò)展High performance, availability, scalability支持各種異步和同步通信機(jī)制Support various inter- process comm

17、unication mechanism支持服務(wù)注冊(cè)與發(fā)現(xiàn)Support service registration and discovery故障處理Fault handling優(yōu)勢(shì)GoodIntel Health & Life SciencesIntel Confidential Do Not Forward13交換機(jī)/路由器/防火墻 Switch/Router/Firewall醫(yī)院外網(wǎng)Hospital InternalNetwork醫(yī)院SaaS 服務(wù)Hospital SaaS Services醫(yī)院業(yè)務(wù)微服務(wù)及APIs網(wǎng)絡(luò)拓?fù)銩 Hospital Microservice Network Di

18、agram醫(yī)院內(nèi)網(wǎng)Hospital Internal NetworkDMZ 區(qū)域外部客戶(hù)端ClientsAPI網(wǎng)關(guān)GATEWAYREST API支付PaymentREST APIHIS掛號(hào)REST RegistrationAPI智能診斷Image AIREST API門(mén)診OutpatientREST API醫(yī)囑REST Medical OrderAPI基層PACSPrimary Care PACS醫(yī)生DoctorWeb UI醫(yī)院門(mén)戶(hù)HospitalPortal患者主索引REST Patient IdentityAPIEMR第三方系統(tǒng)/服務(wù) 3rd Party Services銀聯(lián)UnionPa

19、y醫(yī)保Insurance健康卡Health CardVPNDDNDDN語(yǔ)音服務(wù)NLPInternet醫(yī)藥采購(gòu)Pharma醫(yī)聯(lián)體Hospital Union遠(yuǎn)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(wǎng)關(guān)GATEWAYREST API區(qū)塊鏈節(jié)點(diǎn)Blockchain Node區(qū)塊鏈節(jié)點(diǎn)Blockchai

20、n Node區(qū)塊鏈節(jié)點(diǎn)Blockchain Node醫(yī)生Doctor患者Patient基層醫(yī)院Primary Care Hospitals區(qū)塊鏈基礎(chǔ)設(shè)施Blockchain Infrastructure掛號(hào)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(yuǎn)程證據(jù)Trust(remote attest

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

22、cal Image Cloud/Center區(qū)域人口健康平臺(tái)(Regional) Population Health Platform影像AI服務(wù)器Medical Image AI Server影像工作站PACS WorkstationPACS服務(wù)器PACS ServerDICOM網(wǎng)關(guān)DICOM GatewayPACS影像工作站PACS WorkstationPACS服務(wù)器PACS ServerFF影像AI服務(wù)器Medical Image AI ServerFDICOM網(wǎng)關(guān)DICOM GatewayF影像瀏覽器DICOM Viewer診所Clinics體檢機(jī)構(gòu)Physical Exam分級(jí)診療

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

24、mic Provisioning防火墻FirewallVPN入侵監(jiān)測(cè)系統(tǒng)Intrusion Detection SystemSDN/NFV基礎(chǔ)設(shè)施TEM/OEM專(zhuān)有OSASIC, DSP,FPGA, ASSP至強(qiáng)處理器網(wǎng)卡加速卡SwitchSilicon開(kāi)源服務(wù)器是新一代網(wǎng)絡(luò)平臺(tái)Enabling the Server to Become the New Networking Platform防火墻Firewall虛擬專(zhuān)網(wǎng)VPN客戶(hù)終端設(shè)備CPE深度包檢測(cè)DPI分組數(shù)據(jù)網(wǎng)關(guān)PDG軟件定義架構(gòu)(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(dòng)化Centralized and Automated平臺(tái)能力Platform Capability池化、虛擬化資源Aware Pooled, Virtualized Resources現(xiàn)成的服務(wù)器平臺(tái)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(jié)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(kuò)展性：提升單個(gè)組件如 何以及何時(shí)擴(kuò)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(kuò)展性Limited scalabilityHardwareSilo d infrastructureComputeNetworkStorage高可擴(kuò)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(jì)算核心 的領(lǐng)導(dǎo)者Cloud Leadership企業(yè)IT實(shí)踐Enterprise IT Experience獨(dú)一無(wú)二的合作伙伴Unique PartnerIntel Health & Life SciencesIntel Confidential Do Not Forward20英特爾至強(qiáng)可擴(kuò)展處理器是全球云計(jì)算的核心Intel powers the cloud