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Klicka hr fr att ndra format p bakgrundsrubriken,Klicka hr fr att ndra format p bakgrundstexten,Niv tv,Niv tre,Niv fyra,Niv fem,地区卫生信息系统实例,An example of a HISA based product,地区卫生信息系统实例An example of a HIS,目标,:,适应复杂的卫生环境需求,发展开放式的电子健康解决方案,同时强调高度的灵活性和功能性。,目标:适应复杂的卫生环境需求,发展开放式的电子健康解,相关标准应用的典范,Cambio is dedicated to the use of all relevant formal standards and participates actively in standardization of Health Informatics,The European(CEN)standard HISA EN 12967(Healthcare Information System Architecture)provides the basics of the Cambio Cosmic Platform.Leaders in using the further development with the healthcare process model,Standard based interfaces offered for messages to external systems,e,g,for lab,radiology and pharmacies mainly based on CEN and DICOM standards with various national implementation guides in Edifact,XML etc,Some new messages based on HL7 RIM e.g.for English NHS and the new CEN GPIC based messages,Open proven technology for the system design Java,CORBA,J2EE,SQL,PKI,XML etc,相关标准应用的典范The European(CEN)st,Cambio COSMIC,已经广泛应用的地区型电子健康解决方案,,简便、高效的健康信息管理系统,电子病历,和诊疗常规全程整合,提供标准的诊治方案。,与决策支持功能全程整合,电子处方,病人管理,医嘱管理,资源计划,事故管理,智能统计,职业健康,COSMIC=Compliant Open Solutions for Modern Integrated Care,Cambio COSMIC已经广泛应用的地区型电子健康解决方,Cambio Spider,开放、灵活的服务引擎平台,是连接医疗机构中各个部分的信息网络,为康标,Cosmic,提供支持,并且用于整合其他公司的产品。,基于,Java,技术,应用了,J2EE,、,CORBA,、,Web Services,、应用服务器和相关数据库构架。,可以整合全部现有的系统。,康标,Spider,可以用于各种主流的应用服务器,康标,Spider,是基于欧洲健康信息系统结构标准,(HISA),的开放式标准化平台。,通过欧洲,HP,中心检测,能够承受高负荷的数据采集和交流。,提供第三方开发套件,用户可以自己为系统增加新功能。,Cambio Spider开放、灵活的服务引擎平台是连接,System architecture,System architecture,This is Cambio Cosmic:,Cosmic E-prescribing,电子处方,Cosmic Order,医嘱,Cosmic Patient Management,病人管理,Cosmic Health Care Record,健康档案,Cosmic Incident,医疗事故,Cosmic Intelligence,智能统计,Cosmic Planner,资源规划,This is Cambio Cosmic:Cosmic,COSMIC,COSMIC,WEB Services,Business logic,J2EE,HISA,WEB ServicesBusiness logicJ2EE,Cosmic desktop environment(CDE),Java,Rapid ui dev.,Cosmic desktop environment(CD,Scalability and performance,Scalable solution based on application servers,”Best of breed”products,Extensive load testing using Load Runner,Working with partners,Microsoft,HP(Tests done at HP:s European performance centre),Oracle,System deployed at sites with 11 000 users,Simulations done with up to 100 000 users,Scalability and performanceSca,Main regional installations in Sweden and Denmark,Uppsala,306.000,(2.000.000),Vrmland,275.000,Kronoberg,176.000,Kalmar,235.000,stergtland,411.000,Jnkping,328.000,Fyns amt,450.000,Frarna,30.000,Vstmanland,283.000,Main regional installations,Uppsala County Council,Uppsala County Council is responsible for delivering primary and secondary healthcare for their 300.000 inhabitants,One University hospital,one regional hospital and 35 primary care units,Uppsala University hospital with 1.100 beds is also responsible for delivering secondary healthcare for a wider region with 2.000.000 inhabitants,1.200 physicians and a total of 11.000 employees,Uppsala County CouncilUppsala,经济效益统计,Annual cost savings,3 million US$from compliance with recommended drugs and avoiding duplication of prescriptions,12 million US$from automatization of business processes trough lesser time spent in administration,2,5 million US$from reduced archiving,1,5 million US$from reduced maintenance costs of legacy IT-solutions,Total of 19 million US$annually,经济效益统计Annual cost savings 3 m,其他效益,Benefits,Integrated healthcare pathways,shared information and the availability of extensive statistical data will:,Reduce cost of drug related incidents,e.g.interactions,Shorter inpatient stays,Higher and more consistent quality in the deliverance of care,Better use of resources,In all potential savings of 50-90 million US$,其他效益BenefitsIntegrated health,Solution,Solution,康标系统,Summary of Cambio Systems,Cambio,系统是一个已经广泛应用,并且表现优异的电子健康解决方案平台,支持各种卫生保健组织,从初级保健到社区医疗,乃至大型医院和医疗组织。,与业务过程相关,开放的、可升级的信息系统,适应欧洲和国际标准,康标系统Summary of Cambio Systems,总结,Conclusions,现代卫生医疗保健需要综合的信息系统,提供,更好、更快、更有效、更经济,的服务,国际标准提供了稳定的交互方式,允许不同公司的模块在同一个卫生组织机构的信息系统内进行整合,并且这也是地区和国家一体化信息系统的必要前提。,基于先进平台技术的一体化卫生信息系统,其电子健康档案(,EHR,)应该有以下要素:,决策支持功能,信息管理分析,知识汇总分析,参考术语信息基础构架必须在国家层面进行考虑,总结Conclusions现代卫生医疗保健需要综合的信息系,
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