發(fā)布時間：2018-03-11 02:19

  本文選題：醫(yī)院信息系統(tǒng)　切入點：住院醫(yī)生工作站　出處：《山東大學》2017年碩士論文　論文類型：學位論文

【摘要】：我國的醫(yī)療衛(wèi)生行業(yè)信息化市場規(guī)模逐年遞增。HIS系統(tǒng)的有效運行,將顯著提高醫(yī)院的服務(wù)質(zhì)量與服務(wù)水平。濟南市傳染病醫(yī)院原運行的病房HIS系統(tǒng)為2001年開始運行使用,當時僅為滿足一日清所使用。系統(tǒng)運行至今已不能滿足日益復(fù)雜的需求,為填補該功能缺陷,決定開發(fā)HIS住院醫(yī)生工作站子系統(tǒng)。通過對本市幾家醫(yī)院的調(diào)查和分析,借鑒成功的經(jīng)驗教訓,合理規(guī)劃重構(gòu)工作流程,實現(xiàn)新住院醫(yī)囑系統(tǒng)與電子病歷、藥房系統(tǒng)、LIS、PACS、門診系統(tǒng)的無縫連接。遵循工程化開發(fā)流程,結(jié)合UML和模式理論,規(guī)范系統(tǒng)需求分析和設(shè)計過程,系統(tǒng)采用微軟 Windows Server 2008+IIS,ASP.NET,SQL Server 2008 架構(gòu),使用Visual Studio 2003(C#)進行代碼實現(xiàn)。為保證系統(tǒng)的可靠性和穩(wěn)定性,將數(shù)據(jù)層、應(yīng)用層和業(yè)務(wù)層分離。數(shù)據(jù)庫服務(wù)器將實現(xiàn)雙機熱備、異地備份,保證數(shù)據(jù)安全;為應(yīng)用服務(wù)器配置虛擬備份服務(wù)器,出現(xiàn)問題時可快速手工切換,保證業(yè)務(wù)正常運行;業(yè)務(wù)層面主要在醫(yī)生工作站上部署B(yǎng)/S客戶端。系統(tǒng)主要實現(xiàn)了四部分功能:醫(yī)囑管理、數(shù)據(jù)查詢、主診負責人設(shè)置及輔助功能。醫(yī)囑管理模塊主要功能是協(xié)助醫(yī)生完成電子醫(yī)囑的錄入,實現(xiàn)住院醫(yī)療基礎(chǔ)數(shù)據(jù)的采集,為之后的護士、藥房、醫(yī)技操作奠定基礎(chǔ)。數(shù)據(jù)查詢模塊主要功能是完成各類數(shù)據(jù)的查詢工作,輔助醫(yī)生對診療方案的決策。主診負責人模塊主要功能是實現(xiàn)住院病人的主診負責人設(shè)置,將醫(yī)院績效考核精確到人。輔助功能主要有LIS化驗單打印、危急值提醒、電子病歷接口、合理用藥接口、院內(nèi)感染控制系統(tǒng)接口等。住院HIS系統(tǒng)升級后,逐步實現(xiàn)統(tǒng)一高效,資源整合,互聯(lián)互通,信息共享,透明公開,使用便捷的信息網(wǎng)絡(luò)系統(tǒng)。扎實推進醫(yī)院信息化工作再上新臺階,使我院真正成為現(xiàn)代化的"數(shù)字化醫(yī)院"。
[Abstract]:The effective operation of our country's medical and health industry information market scale is increasing year by year. His system will obviously improve the service quality and service level of the hospital. The HIS system in the ward of Jinan Infectious Disease Hospital was put into operation in 2001. At that time, the system was only used to meet the needs of Yizhouqing. The system has not been able to meet the increasingly complex requirements. In order to fill the functional defect, it was decided to develop the HIS resident doctor workstation subsystem. Through the investigation and analysis of several hospitals in this city, Using the successful experience and lessons for reference, rational planning and reconstructing the workflow, realizing the seamless connection between the new inpatient medical advice system and the electronic medical record, the pharmacy system and the out-patient system, followed the engineering development process, combined with the UML and the pattern theory. In order to ensure the reliability and stability of the system, the system adopts Microsoft Windows Server 2008 IIS ASP. Net SQL Server 2008 architecture and uses Visual Studio 2003 C#to implement the system requirement analysis and design process. Application layer and business layer are separated. The database server will realize double computer hot standby, remote backup, ensure data security, configure virtual backup server for application server, can switch quickly and manually when problems occur, and ensure the normal operation of business. The business level mainly deploys the B / S client on the doctor workstation. The system mainly implements four functions: doctor's order management, data query, The main function of the medical advice management module is to assist doctors to complete the input of electronic medical orders, to realize the collection of basic data of medical care in hospital, for the nurses, pharmacies, The main function of the data query module is to complete all kinds of data query and assist the doctor to make decision on the diagnosis and treatment plan. The auxiliary functions include printing of LIS test sheet, warning of critical value, electronic medical record interface, rational drug use interface, hospital infection control system interface, etc. After the upgrade of HIS system in hospital, the unified and efficient system can be realized step by step. Resources integration, interconnection, information sharing, transparency and openness, convenient use of information network system, solid promotion of hospital information work to a new level, so that our hospital truly become a modern "digital hospital".
【學位授予單位】：山東大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：TP311.52

【相似文獻】

相關(guān)期刊論文 前10條

1 孫英;于廣遠;;加強“軍字1號”工程護士工作站與醫(yī)生工作站的管理[J];醫(yī)學信息;2004年05期

2 靳莉;;解決醫(yī)生工作站與護士工作站通信失敗一例[J];醫(yī)學信息;2006年10期

3 周玲;倉孝潔;婁潔;;微機聯(lián)網(wǎng)護士工作站與醫(yī)生工作站的協(xié)調(diào)與配合[J];沈陽部隊醫(yī)藥;2001年06期

4 王韜,羅玉珍,黃宇,劉e，

本文編號：1596152