基于数据仓库与数据服务中台的医疗大数据中心构建  

Design and construction of medical big data center based on data warehouse and data service platform

作　　者：王能才 王玉珍 李宗仁 赵正军 Wang Nengcai;Wang YuZhen;Li Zongren;Zhao Zhengjun(Department of Information Technology,The 940 Hospital of the PLA Joint Logistics Support Force,Lanzhou 730050,China)

机构地区：[1]中国人民解放军联勤保障部队第九四〇医院信息科,兰州730050

出　　处：《中国医学装备》2024年第11期126-131,共6页China Medical Equipment

基　　金：第九四〇医院2023年度科研计划项目(2023YXKY041)。

摘　　要：目的:设计基于数据仓库(DW)与数据服务中台的医疗大数据中心,融合不同信息系统与组织架构之间的信息资源,搭建数据共享安全渠道,满足临床应用数据需求。方法:以数据流向为基础,以医院临床服务、运营管理、科研发展为依据,采用自上而下的数据应用层、数据服务层、DW层和操作型数据存储(ODS)层设计架构,设计基于DW与数据服务中台的医疗大数据中心,以医院数据和业务为导向,依据“对象-事件-报告”数据拆分逻辑,对各主题域包含角色对应的活动进行拆解和梳理,方便临床应用中快捷调用。结果:医疗大数据中心设置患者主索引管理和主数据管理基础模块,共设置可以覆盖医院的临床服务、医院管理、患者标识等16大业务主题域和52个业务子域,医疗大数据中心应用包含临床数据中心、运营数据中心和科研数据中心,并对各大类信息间的关联逻辑进行明确定义,对服务应用程序接口全生命周期进行集中管理,结合主数据信息,全面治理医疗数据,实现了医院数据归一化,并借助大数据技术建立高质量的数据资产和有弹性的DW模型。结论:基于DW与数据服务中台的医疗大数据中心能够对医院不同信息系统与医院内的其他数据进行整合,实现接口服务便捷调用和医院数据的规范化、持久化管理,保障临床应用、运营决策及科研分析等数据应用需求。Objective:To design a medical big data center based on data warehouse(DW)and data service platform,to integrate information resources between different information systems and organizational structures,to build a secure channel for data sharing,and to meet the needs of clinical application data.Methods:Based on data flow direction,and according to hospital clinical services,operation management,and scientific research development,a top-down data application layer,data service layer,DW layer,and operational data storage(ODS)layer design architecture was adopted to design a medical big data center based on DW and data service platform.Guided by hospital data and business,according to the"object-event-report"data splitting logic,the activities corresponding to the roles in each subject domain were disassembled and sorted out to facilitate quick invocation in clinical applications.Results:The medical big data center was equipped with basic modules for patient master index management and master data management,covering 16 major business subject domains and 52 business subdomains,including hospital's clinical services,hospital management,and patient identification.The medical big data center application included clinical data center,operation data center and scientific research data center,and clearly defined the correlation logic between major categories of information,centrally managed the whole life cycle of service application program interfaces,combined master data information,comprehensively managed medical data,realized the normalization of hospital data,and established high-quality data assets and flexible DW models with the help of big data technology.Conclusion:The medical big data center based on DW and data service platform can integrate different information systems of the hospital with data within the hospital,realize the convenient invocation of interface services and the standardized and persistent management of hospital data,and ensure the data applications needs of clinical application,operational dec

关 键 词：数据仓库(DW) 数据服务中台 医疗数据融合 数据中心 医疗大数据 

分 类 号：R197.324[医药卫生—卫生事业管理]