运用大数据推动经济、科技、社会、文化、生态乃至健康事业发展,特别是重大疫情防控,在全球已成为一种趋势.结合抗击非典(SARS)、埃博拉疫情和赴汉救治新冠肺炎患者的实践体会,重点从监测、预防、治疗、科研和保障等方面探讨了应用健康医疗大数据推进新冠肺炎疫情防控的思路与举措.

Objective To explore the construction and application of cloud-based healthcare information system (CHIS).Methods The process of CHIS employment and implementation for primary-level medical and healthcare institutions was elaborated by the example of a city after the analysis and comparison of mode difference between traditional and cloud construction.Results CHIS integrated regional medical resources and realized integrated application of medical and public healthcare resources,mobile integration of regional operation and continuous innovation in construction mode,and facilitated uniformed management,high-efficiency running and maintenance as well as business development.Conclusion CHIS contributes to enhancing medical inforrnatization in primary institutions,promoting continuous medical innovation and innovating medical informatization mode.

目的:从HIS建设模式、发展路径、技术架构和医改政策需求角度出发,研究探索云HIS,从而重新定义HIS的未来.方法:通过分析传统HIS的弊端,给出重新定义HIS的必要性,从理念、技术、方法及机制上重新定义HIS.结果:云HIS以新的内涵作用、建设方法和发展机制,重建信息架构体系,重构管理服务流程,重造病人服务环境,重塑运维服务方式,实现医疗卫生信息化由局域网医院信息系统向广域网医疗卫生信息系统的转型转变.结论:云HIS是发展方向,它重新定义了HIS的未来,将助推医疗卫生信息化进入云时代.

Objective: To expand the functions of the new version of integrated medical workstation, optimize the workflow, improve the usability of the system and maximize the medical quality of the hospital. Methods: According to the actual situation of the hospital, with the cooperation with factory engineers, the mode of integration of information systems of the hospital and the integrated medical workstation is deeply explored. Results: No.1 Military Medical Project Resident Doctor Workstation, nurse workstation and other system functions are integrated and optimized. At the same time the integration of LIS, PACS, ECG, rational drug use and other systems is realized. Conclusion: The application of the new version of integrated medical workstation is deeply explored. By optimizing the system process and integrating various kinds of information application systems, the work efficiency of medical personnel and the medical quality of hospital can be greatly improved.

Objective: To decide the corresponding solutions and strategies by conclude common problems in implementation process. Method: To enumerate main problems in the platform implementation process and to decide corresponding solutions by analyzing problems that emerged through auxiliary tools installation and joint of basic systems and platforms. Result: Sorted out main problems and reason of these problems generated in the implementation process to seek out the solutions. Conclusion: Let the users make less mistakes by describing main problems and solutions in implementation process in detail, and thus to achieve good effect.

Objective: To research building method of professional military HRP technical team. Method: Discussing building mode of professional military HRP technical team from aspects such as building thoughts, major structure, building method, development mechanism and so on. Result: To greatly enhance technical team building effect by multiple pathways such as thoughts of advancing on the whole, emphasis on training key staff, better system for staff evaluation, method of unified organization and unified between military and civilian, research and practice, introduction and training. Conclusion: Technical team can be developed soundly, rapidly and sustainably by strengthening organization leadership and regime construction, completing training system, enabling staff switching jobs orderly.

Grassroots healthcare institutions (GHIs) are the smallest administrative levels of medical institutions, where most patients access health services. The latest report from the National Bureau of Statistics of China showed that 96.04 % of 950,297 medical institutions in China were at the grassroots level in 2012, including county-level hospitals, township central hospitals, community health service centers, and rural clinics. In developing countries, these institutions are facing challenges involving a shortage of funds and talent, inconsistent medical standards, inefficient information sharing, and difficulties in management during the adoption of health information technologies (HIT). Because of the necessity and gravity for GHIs, our aim is to provide hospital information services for GHIs using Cloud computing technologies and service modes. In this medical scenario, the computing resources are pooled by means of a Cloud-based Virtual Desktop Infrastructure (VDI) to serve multiple GHIs, with different hospital information systems dynamically assigned and reassigned according to demand. This paper is concerned with establishing a Cloud-based Hospital Information Service Center to provide hospital information software as a service (HI-SaaS) with the aim of providing GHIs with an attractive and high-performance medical information service. Compared with individually establishing all hospital information systems, this approach is more cost-effective and affordable for GHIs and does not compromise HIT performance.

Objective: Based on the military hospital economic management information platform (hereinafter referred to as the "platform" ) data transfer mode analysis, to look for emphasis and principle that need to grasp in data transmission process. Methods: Comparing different system platforms data transfer order, content and direction, to form a platform data transfer mode. Results: To build platform the overall scheme of the data transfer. Conclusion: It need to grasp overall principle, emphasize influence of system parameter setting to data transfer, that can precisely analyze and apply data transfer function, and thus to provide support to steadily run platform.

通过分析医院信息化阻碍因素以及云计算技术的构成与优势,确定云计算在医院信息化应用中的可行性方案、面临问题及应用效益.云计算应用的重点在基础平台、信息应用、运维管理、软件系统等方面.在医院信息化云计算应用过程中,要更新观念,合理规划,规避风险.

Objective:To explore the construction of digital hospital based on the technology of cloud computing.Methods: The construction of data center, deployment of desktop system, transformation of application model, management of information platform and training of staff under the condition of cloud computing will be discussed in this article as well.Results: Taking the technology of cloud computing as core, we built the foundation platform of cloud computing to explore the model of application and management as well as bring forth new ideas in services providing, which brings a competitive advantage for the development of hospital.Conclusion: The practice of construction based on the technology of cloud computing promotes the development for digital hospital, which improves the quality of information services.

Objective: To form a military hospital economic management regime that is based on information platform. Method: Integrating key hospital accounting factors and management process, and then taking overall design thought that from top to end, from link to chain, layer connected to layer, accounting data from one source. Result: Expended management range, enriched management connotation, completed management regime, normalized accounting method. Conclusion: Based on information platform management architecture system of the military hospital economic data-sharing, the ability of military hospital operation management can be enhanced greatly by meeting the management requirements of modern hospital accounting.

Objective: Discuss about necessity and importance of compound talents cultivation of Medical Cloud Project, and give relevant requirements and suggestions on talent team construction. Method: Analyze the basic characteristics of compound talents in Medical Cloud Project, and study specific requirements of their abilities and quality and talent team construction mode. Results: By speeding up the talent system and mechanism innovation, training systems are established and improved, and various on-the-job trainings are actively provided, so that compound talents of Medical Cloud Project have clear construction thoughts, good business skills, excellent management methods, strong learning ability and good innovation idea. Conclusion: Cultivation of compound talents for Medical Cloud Project is urgently required by improvement of construction level and management ability of Medical Cloud Project. It is the basic condition to promote the sustained and healthy development of Medical Cloud Project. Self transformation and upgrade of the existing knowledge structure and professional capacity of talents shall be accelerated, so as to cultivate a group of leading talents for hospital information construction with independent innovation ability leading the world.

Objective: through analyzing the construction demand of digital hospital based-on cloud computing, provide references to make implementation plan for medical cloud project. Methods: by comparing traditional hospital information construction and the mode of cloud computing technical architecture, and from the actual demand of digital hospital construction, submit the construction targets of digital hospital based-on cloud computing. Results: construct dynamic data center for the platform based-on cloud computing technical architecture, which adopts uniform deployment, allocation according to requirements and highly safe system;centrally arrange virtual desktop, realize zero distance 5A characteristics on management, and fulfill error-free 5R requirements clinically; change the application mode of medical treatment information, and satisfy the requirements of massive data storage access, instant high-speed network transmission, instant supercomputing ability; innovate new methods for centralized management, zero downtime maintenance, and quick responds for information platform, and guarantee the continuity of business system;cultivate high-quality information team composing composite professional, and practical talents, and push the project construction with outstanding talents. Conclusions: the construction of digital hospital based-on cloud computing is a lively practice for the transition of digital hospital construction, which can help the construction of digital hospital out of dilemma, control a commanding height and efficiently improve the hospital information construction inwards.

According to medical cloud project digital hospital technological framework, cloud computing characteristics and hospital practical needs, the article makes a discussion about the principles and methods on software and hardware selection concerning virtual software, computing unit, memory unit, network unit, management and security etc in the midst of constructing private cloud mobile data center in the hospital respectively.

Objective: Through the implementation of Medical Cloud Project, solve resource utilization, daily operation and management, safety protection and other problems in information construction of military hospitals. Method: Cloud computing technology is used to realize virtualization of all kinds of resources on the digital hospital information basic platform, dynamically adjust and distribute each type of resource pool according to the needs, and establish a unified daily operation and safety protection management platform. Results: Through the application of cloud computing technology, the information infrastructure integration capabilities of hospitals are improved, and collaborative development of software, hardware and information security of hospital is realized. Conclusion: Supported by cloud computing technology, construction of Medical Cloud Project adheres to the top-level design and highlights technical innovation. It can effectively enhance the level of digital hospital construction of military, and improve and optimize the medical information security service abilities.

本文对某军区制定的<基于云计算的数字化医院建设工程指导意见>进行全面解读,重点阐述了<意见>的内容,包括"医云工程"建设模式、工作目标、技术保障、推行办法、具体要求等.

目的 探索运用前沿信息技术,不断提高医院为部队服务水平.方法 采用云计算、物联网、统一通信等领域相关技术,构建部队区域卫生云,中心医院通过部署10多个应用系统,为部队基层卫生机构和官兵提供各种医疗服务.结果 体系部队各级卫生机构均得到较好应用,解决了部队基层卫生信息化"建设难、维护难、使用难"等问题,较好满足了部队基层卫生机构业务工作和官兵医疗保健需要.结论 部队区域卫生云平台有较高的推广应用价值.