上海市级医院临床信息共享项目的系统架构

System architecture of the clinical information-sharing project for Shanghai＇s municipal-level hospitals

旨在研究设计上海市级医院临床信息共享项目的系统架构，探讨系统设计中的关键问题，为区域医疗信息共享系统的设计提供借鉴。上海医疗信息共享系统包括通用共享的就医卡、医院内部系统、联结各医院的网络、临床信息交换共享平台、数据中心、辅助决策支持系统和公众服务门户。系统设计中的关键问题包括个人身份认证、标准和规范的建立、信息共享模式、信息存储模式、与医院相关系统关系和个人隐私保护。

The article analyzed the system architecture design of the Shanghai municipal hospital clinical information sharing project, aiming to provide reference for system design of a regional medical information sharing system. This proiect is composed of the following： A universal medical card, hospital ＂s internal information system, an inter-hospital network, a clinical information exchange and sharing platform, a data center, a decision support system and a public service portal. Key issues involved in the system design include the personal identity, the establishment of standards and specifications, the information sharing model, the information storage model, systems related to hospitals and personal privacy protectior.