Nhoroondo, data yemuchina wezvokurapa yakave yakasarudzika, yakavharirwa mumasilos, imwe neimwe iine yakasarudzika maprotocol, kubatana kwemuviri, mitengo yekuvandudza, uye terminology, asi kufambira mberi kwakakosha kwakaisa michina yekurapa padanho rekusvetukira kubva kuchati uye zvinyorwa kuenda kunoshanda kutarisisa murwere. uye kupindira.
Kuteverwa kuburikidza nemhando dzakasiyana-siyana, ruzivo rwenguva pfupi, varapi vanogona kushandisa nhoroondo uye chaiyo-nguva data kufambisa chaiyo-nguva yekiriniki yekuita sarudzo iyo yakavakirwa pakuchinja uye kubuda maitiro.
Indasitiri yezvehutano inzira refu kubva pakuziva kudyidzana kwepasirese kwemidziyo yekurapa.Kunyangwe nhungamiro yemubatanidzwa uye shanduko, kufambira mberi kwetekinoroji, masangano emaindasitiri, uye masangano ezviyero, pamwe neakasiyana indasitiri nezvinodiwa zvebhizinesi zvakakurudzira vamwe vanogadzira kugadzira nzvimbo dzekupindirana, michina yekurapa yakawanda ichiri kuda kuti mafomu avo evaridzi ashandurwe kune chimwe chinhu chakamisikidzwa uye chakajairika iyo yehutano IT system, zvese mu semantics uye messaging fomati.
Medical device data system (MDDS) middleware icharamba ichidikanwa kudhonza data kubva kune mamwe makirasi emidziyo yekurapa uchishandisa zvakatemwa nemutengesi, wozodudzira nekuzvizivisa kune yemagetsi rekodhi yehutano (EHR), dura re data, kana imwe ruzivo system yekutsigira. shandisa zviitiko zvakadai sekiriniki charting, kiriniki sarudzo yekutsigira, uye tsvagiridzo.Dhata kubva kumidziyo yekurapa inosanganiswa nedzimwe data murekodhi yemurwere kugadzira mufananidzo wakazara uye wakazara wemurwere.
Kufara uye kuwanda kwehunyanzvi hweMDDS middleware hunobatsira nzira idzo zvipatara, masisitimu ehutano uye mamwe masangano evanopa anogona kufumura nzira dzekusimudzira iyo data inoyerera kubva kune mudziyo kuenda kune rekodhi rekodhi.Kushandiswa kwedata kuvandudza manejimendi ekutarisira varwere uye kuita sarudzo yekiriniki kunouya nekukurumidza mupfungwa-asi izvo zvinongokwenya pamusoro pezvinogoneka.
Data Retrieval Kugona
Zvishoma, MDDS yepakati inoda kukwanisa kutora episodic data kubva kuchigadzirwa chekurapa uye ichidudzira kune yakajairwa fomati.Pamusoro pezvo, middleware inofanirwa kukwanisa kudzoreredza data nekumhanya kwakasiyana-siyana kuti isangane nezvinodiwa zveakasiyana siyana ekushanda kwekiriniki (semuenzaniso, makamuri ekuvhiya achipesana nevanorwara zvakanyanya maringe nemayuniti ekuvhiya).
Clinical charting nguva dzinowanzosiyana zvichienderana nezvinodiwa zvekiriniki kubva pamasekonzi makumi matatu kusvika kumaawa akati wandei.Higher-frequency, sub-second data, inosanganisira waveform zviyero kubva kune physiologic monitors, pressure-volume loops kubva kuma mechanical ventilators, uye alarm-type data yakabudiswa kubva kumidziyo yekurapa.
Kushandiswa kwedata rekuratidzira uye kuongorora, kufungidzira analytics, pamwe nekukwanisa kugadzirisa data yakaunganidzwa panguva yekutarisira kugadzira ruzivo rutsva zvakare inotyaira mitengo yekuunganidza data.Iko kugona kudzoreredza data pamareti akasiyana, kusanganisira pachikamu chesekondi-diki, kunoda kugona kwehunyanzvi kune chikamu chemutengesi wepakati, asi zvinodawo masimba ekutonga nenzira yeFDA clearances, inoratidza kuti iyo yepakati inokwanisa kuratidza izvozvo. iyo yakaderedza njodzi inobatanidza nekutaurirana yakakwirira frequency data yearamu uye kuongororwa-kunyange kutarisa kwevarwere uye kupindira.
Zvinoreva Kupindira Kwenguva Yechokwadi
Middleware inogona kukwiridzirwa kudhonza data kubva kumidziyo yekurapa uye kuisanganisa neimwe data murekodhi remurwere kugadzira mufananidzo wakazara uye wakazara wemurwere aripo.Kubatanidza kuongororwa nedata-chaiyo-nguva panguva yekuunganidza kunogadzira chishandiso chine simba chekufungidzira uye kutsigirwa kwesarudzo.
Izvi zvinomutsa mibvunzo yakakosha ine chekuita nekuchengetedzwa kwevarwere uye chiyero chenjodzi inotorwa nechipatara.Zvinodiwa nemurwere zvinyorwa zvinosiyana sei kubva-chaiyo-nguva yevarwere kupindira zvinodiwa?Chii chaicho-nguva data kuyerera uye chii chisiri?
Nekuti data rinoshandiswa kupindira chaiko-nguva, senge maalarm ekiriniki, inokanganisa kuchengetedza kwevarwere, chero kunonoka mukuunza kwavo kune vanhu chaivo kunogona kuve nemhedzisiro yakaipa.Nekudaro, zvakakosha kuti tinzwisise zvinorehwa nezvinodiwa pane data delivery latency, mhinduro, uye kuvimbika.
Kugona kweakasiyana epakati ekugadzirisa mhinduro anopindirana, asi kune zvakakosha zvekuvaka uye zvekutonga zvinofanirwa kutariswa, kunze kweiyo chaiyo yesoftware kana kuwana kwemuviri kune data.
FDA Clearance
Mune hutano IT nzvimbo, FDA 510 (k) clearance inotonga yekurapa mudziyo kubatana uye kutaurirana kune yezvokurapa mudziyo data system.Mumwe wemisiyano pakati pechishandiso che data data system iyo inoitirwa kushandiswa kwechati uye inoshanda yekutarisa ndeyekuti iyo masisitimu akacheneswa kuti atarise inoshanda aratidza kugona kutaura zvakavimbika data uye maalarm anodiwa kuongororwa kwemurwere uye kupindira.
Iko kugona kuburitsa data nekuishandura kuhurongwa hwerekodhi chikamu cheiyo FDA inoona seMDDS.FDA inoda kuti mhinduro dzeMDDS dzitakure iyo FDA Kirasi I chimiro chezvinyorwa zvese.Zvimwe zvinhu, zvakadai semaaramu uye kutarisa kwevarwere vanoshingaira, zviri kunze kwechiyero-kutamisa, kuchengetedza, kutendeuka uye kuratidza-yehutano hweMDSS.Zvinoenderana nemutemo, kana MDDS ikashandiswa kupfuura yayaida kushandiswa, izvi zvinoshandura mutoro wekutarisa uye kuteedzera kuzvipatara izvo zvinozove zvakarongeka semugadziri.
Kubvumidzwa kweKirasi II kunogona kuwanikwa nemutengesi wepakati anoratidza kubva panjodzi yekuona kuti yakabudirira kuderedza njodzi dze data kuti ishandiswe mukupindira kwehupenyu, izvo zvaizoenderana nearamu kutaurirana kana kusikwa kwedata idzva kubva ku data raw yakaunganidzwa kubva. midziyo yekurapa.
Kuti mutengesi wepakati atore mvumo yekutarisa varwere vanoshingaira, vanofanirwa kunge vaine cheki uye zviyero munzvimbo kuti vaone kugashira uye kuendeswa kwese data revarwere rinoshanda nekuda kwekupindira kubva kumagumo kusvika kumagumo-kubva pakuunganidzwa (chishandiso chekurapa) kusvika pakusununguka. pfungwa (mukiriniki).Zvekare, kugona kuendesa panguva uye kugashira data inodiwa kupindira uye inoshingaira yevarwere kutarisa, musiyano unokosha.
Kuendesa Data, Kukurukurirana, uye Kutendeseka
Kuti utsigire kutariswa kwemurwere uye kufambiswa kwedata kwakasimbiswa, nzira yekutaurirana kubva pamubhedha wekurapa mudziyo kuenda kumugamuchiri inofanirwa kuvimbisa kuendeswa kwedata mukati menguva yakatarwa.Kuti ive vimbiso yekuendesa, sisitimu inofanirwa kuramba ichitarisa nzira yekutaurirana uye kushuma kana uye kana data rikavhiringidzwa kana neimwe nzira inonokerwa kupfuura iyo yakanyanya kugamuchirwa muganho pane latency uye throughput.
Kutaurirana-maviri kwedata kunovimbisa kuti kuendeswa kwedata uye kuoneswa hakutadzise kana kukanganisa mashandiro emudziyo wekurapa.Izvi zvinonyanya kukosha paunenge uchiongorora kunze kwekutonga kwemidziyo yekurapa kana kana data yealarm inotaurirwa pamurwere anoshanda.
Mumiddleware masisitimu akacheneswa kune anoshanda murwere kutarisa, kugona kushandura iyo data kunogoneka.Algorithms ekuita shanduko, kuverenga kwemhedzisiro, uye neimwe nzira kududzira data kunofanirwa kupfuura uye kusimbiswa kune ese anodiwa ekushanda mamiriro emudziyo wekurapa, kusanganisira nzira dzekutadza.Kuchengetedzwa kwedata, kurwiswa kwehasha padhata, mudziyo wekurapa, uye kurambwa kwesevhisi, uye ransomware zvese zvine mukana wekukanganisa kutendeseka kwedata uye izvi zvinodikanwa zvinofanirwa kuzadzikiswa kuburikidza neakananga mamiriro uye kusimbiswa kuburikidza nekuyedzwa.
Universal zvekushandisa zvekurapa zviyero hazviitike nehusiku humwe, kunyangwe zvanga zvichinakidza kuona kutama kunononoka kwemugadziri kune imwe nzira yakamisikidzwa.Logistics uye kuita zvinotonga zuva munyika ine mitengo yakakwira mukudyara, kusimudzira, kutora, uye mutemo.Izvi zvinosimbisa kukosha kwekuve neruzivo rwakakwana uye rwekumberi pakusarudza mubatanidzwa wemidziyo yekurapa uye mupi wepakati anogona kutsigira zvehunyanzvi uye zvekiriniki zvinodiwa zvesangano rako rehutano.
Nguva yekutumira: Jan-12-2017