M'mbuyomu, zida zachipatala zidakhala zodzipatula, zotsekeredwa m'masungidwe, chilichonse chili ndi njira zoyankhulirana zapadera, kulumikizana kwakuthupi, mitengo yosinthira, ndi mawu, koma kupita patsogolo kwakukulu kwayika zida zachipatala pachiwopsezo cha chisinthiko kuchokera ku charting ndi zolemba mpaka kuyang'anira odwala mwachangu. ndi kulowererapo.
Kutsatiridwa kudzera muzinthu zambiri, zomwe zakhala zikuchitika kwakanthawi, asing'anga amatha kugwiritsa ntchito mbiri yakale komanso nthawi yeniyeni kuti athandizire kupanga zisankho zenizeni zachipatala zomwe zimachokera pakusintha ndikusintha.
Makampani azachipatala ali kutali kwambiri ndi kuzindikira kugwirizana kwapadziko lonse kwa zida zamankhwala.Ngakhale malangizo aboma ndi kusintha, kupita patsogolo kwaukadaulo, mabungwe azamakampani, ndi mabungwe omwe ali ndi miyezo, komanso zofunikira zosiyanasiyana zamabizinesi ndi bizinesi zalimbikitsa opanga ena kupanga njira zolumikizirana, zida zambiri zamankhwala zimafunikirabe kuti mawonekedwe awo atembenuzidwe kuzinthu zofananira komanso zofananira. Health IT system, onse mu semantics ndi mtundu wa mauthenga.
Medical device data system (MDDS) middleware ipitiliza kukhala yofunikira kukokera zidziwitso kuchokera m'magulu ena a zida zamankhwala pogwiritsa ntchito zomwe wagulitsa, kenako kumasulira ndikuzidziwitsa ku mbiri yaumoyo yamagetsi (EHR), malo osungiramo data, kapena makina ena azidziwitso kuti athandizire. gwiritsani ntchito zochitika monga ma chart achipatala, chithandizo chosankha chachipatala, ndi kafukufuku.Deta yochokera kuzipangizo zachipatala imaphatikizidwa ndi deta ina muzolemba za odwala kuti apange chithunzi chokwanira komanso chokwanira cha mkhalidwe wa odwala.
Kukula ndi kuchuluka kwa kuthekera kwa MDDS middleware kumathandizira njira zomwe zipatala, machitidwe azaumoyo ndi mabungwe ena opereka chithandizo angavumbulutse njira zopezera ma data omwe amachokera ku chipangizo kupita ku kalembedwe.Kugwiritsiridwa ntchito kwa deta kupititsa patsogolo kasamalidwe ka chisamaliro cha odwala ndi kupanga zisankho zachipatala kumabwera mwamsanga m'maganizo-koma izo zimangokanda pamwamba pa zomwe zingatheke.
Kuthekera Kwa Data
Pang'ono ndi pang'ono, MDDS middleware iyenera kutha kupezanso deta ya episodic kuchokera ku chipangizo chachipatala ndikumasulira mumpangidwe wokhazikika.Kuphatikiza apo, mapulogalamu apakati akuyenera kutulutsanso zambiri mwachangu mosiyanasiyana kuti akwaniritse zofunikira pazachipatala zosiyanasiyana (mwachitsanzo, zipinda zochitira opaleshoni motsutsana ndi zipinda za odwala kwambiri motsutsana ndi zachipatala).
Nthawi zachipatala nthawi zambiri zimasiyana malinga ndi zofunikira zachipatala kuyambira masekondi 30 mpaka maola angapo.Deta yapamwamba kwambiri, yachiwiri yachiwiri, imaphatikizapo kuyeza kwa mafunde kuchokera ku physiologic monitors, kukakamiza-volume loops kuchokera ku makina opangira mpweya, ndi deta yamtundu wa alamu yotulutsidwa kuchokera ku zipangizo zamankhwala.
Kugwiritsiridwa ntchito kwa deta powonetsera ndi kusanthula, kusanthula zolosera, komanso luso lokonzekera deta yomwe yasonkhanitsidwa panthawi ya chisamaliro kuti apange chidziwitso chatsopano imayendetsanso mitengo yosonkhanitsa deta.Kutha kupezanso deta pamitengo yosinthika, kuphatikiza pamlingo wa masekondi pang'ono, kumafuna luso laukadaulo kwa wogulitsa wapakati, komanso kumafunikanso mphamvu zowongolera mwanjira ya chilolezo cha FDA, zomwe zikuwonetsa kuti zida zapakati zimatha kuwonetsa kuti zachepetsa chiopsezo chokhudzana ndi kuyankhulana kwafupipafupi kwa ma alamu ndi kusanthula-ngakhale kuyang'anira odwala ndi kulowererapo.
Zotsatira za Kulowererapo Kwa Nthawi Yeniyeni
Middleware ikhoza kugwiritsidwa ntchito kukoka deta kuchokera kuzipangizo zamankhwala ndikuphatikiza ndi zina zomwe zili mu mbiri ya odwala kuti apange chithunzi chokwanira komanso chokwanira cha momwe wodwalayo alili.Kuphatikiza kusanthula ndi deta yeniyeni panthawi yosonkhanitsa kumapanga chida champhamvu cholosera ndi kuthandizira chisankho.
Izi zimabweretsa mafunso ovuta omwe amakhudza chitetezo cha odwala komanso mlingo wa chiopsezo chomwe chipatala chimaganiziridwa.Kodi zolembedwa za odwala zimasiyana bwanji ndi zosowa zenizeni za odwala?Kodi kuyenda kwa data mu nthawi yeniyeni ndi chiyani ndipo sichoncho?
Chifukwa deta yomwe imagwiritsidwa ntchito pothandizira nthawi yeniyeni, monga ma alarm azachipatala, imakhudza chitetezo cha odwala, kuchedwa kulikonse popereka kwa anthu olondola kumatha kukhala ndi zotsatira zoyipa.Choncho, ndikofunika kumvetsetsa zotsatira za zofunikira pa latency yopereka deta, kuyankha, ndi kukhulupirika.
Kuthekera kwamayankho osiyanasiyana apakati amaphatikizana, koma pali zoyambira zamamangidwe ndi zowongolera zomwe ziyenera kuganiziridwa, kunja kwazomwe zili pulogalamu kapena mwayi wopeza deta.
Chilolezo cha FDA
M'malo azaumoyo a IT, chilolezo cha FDA 510(k) chimayang'anira kulumikizana kwa zida zachipatala ndi kulumikizana ndi zida zachipatala.Kusiyanitsa kumodzi pakati pa machitidwe a deta yachipatala omwe amapangidwa kuti agwiritse ntchito ma charting ndi kuyang'anitsitsa mwakhama ndikuti machitidwe omwe amatsukidwa kuti awonedwe mwachidwi asonyeza kuti amatha kulankhulana modalirika deta ndi ma alarm omwe amafunikira kuti athe kuunika kwa odwala ndi kuchitapo kanthu.
Kukhoza kuchotsa deta ndikumasulira ku kachitidwe ka rekodi ndi gawo la zomwe FDA imawona kuti ndi MDDS.FDA imafuna kuti mayankho a MDDS akhale ndi mawonekedwe a FDA Class I kuti alembedwe.Zina, monga ma alarm ndi kuyang'anira odwala mwakhama, ndizopitirira malire-kusamutsa, kusungirako, kutembenuka ndi kuwonetsera-zamphamvu za MDSS.Malinga ndi lamuloli, ngati MDDS igwiritsidwa ntchito mopitilira momwe idafunidwira, izi zimathandizira kuyang'anira ndikutsatira zipatala zomwe pambuyo pake zidzasankhidwa kukhala opanga.
Chilolezo cha Class II chikhoza kupezedwa ndi wogulitsa middleware yemwe akuwonetsa kuchokera pachiwopsezo kuti adachepetsa bwino kuopsa kwa deta kuti agwiritsidwe ntchito pazochitika zamoyo, zomwe zingagwirizane ndi kuyankhulana kwa alamu kapena kupanga deta yatsopano kuchokera ku data yaiwisi yomwe yasonkhanitsidwa kuchokera. zida zamankhwala.
Kuti wogulitsa wapakati adzifunse kuti ali ndi chilolezo choyang'anira odwala, ayenera kukhala ndi macheke ndi miyeso yonse kuti atsimikizire kuti alandila ndikupereka zidziwitso zonse za odwala omwe akugwira ntchito kuti athandizire kuyambira kumapeto mpaka kumapeto-kuchokera kumalo osonkhanitsira (chipangizo chachipatala) mpaka kubereka. dokotala (chipatala).Apanso, kuthekera kopereka nthawi ndi kulandira deta yofunikira pakuchitapo kanthu komanso kuyang'anira odwala mwachangu, ndikosiyana kofunikira.
Kutumiza Kwa data, Kulumikizana, ndi Kukhulupirika
Pofuna kuthandizira kuwunika kwa odwala komanso kutsimikizika kwa data, njira yolankhulirana kuchokera ku chipangizo chachipatala chapafupi ndi bedi kupita kwa wolandila iyenera kutsimikizira kutumizidwa kwa datayo pakanthawi kochepa.Pofuna kutsimikizira kutumizidwa, makinawo amayenera kuyang'anira njira yolumikizirana mosalekeza ndikupereka lipoti ngati deta ikulepheretsedwa kapena kuchedwetsedwa kupitirira malire ovomerezeka pa kuchedwa ndi kutulutsa.
Njira ziwiri zoyankhulirana za deta zimatsimikizira kuti kutumiza ndi kutsimikizira deta sikulepheretsa kapena kusokoneza ntchito ya chipangizo chachipatala.Izi ndizofunikira kwambiri pakuwunika kuwongolera kwakunja kwa zida zamankhwala kapena data ya alarm ikaperekedwa kwa wodwala aliyense wogwira ntchito.
M'makina apakati omwe amatsukidwa kuti ayang'ane odwala, kuthekera kosintha deta ndizotheka.Ma aligorivimu osinthira, kuwerengera zotsatira zamaphunziro apamwamba, ndi kutanthauzira kwina koyenera kuyenera kupitilira ndikutsimikiziridwa pazolinga zonse zogwirira ntchito za chipangizo chachipatala, kuphatikiza mitundu yolephera.Chitetezo cha data, kuwukira koyipa kwa data, zida zamankhwala, kukana ntchito, ndi ransomware zonse zimatha kukhudza kukhulupirika kwa data ndipo izi ziyenera kukwaniritsidwa kudzera muzochitika zinazake ndikutsimikiziridwa ndikuyesa.
Miyezo ya zida zachipatala za Universal sizichitika mwadzidzidzi, ngakhale zakhala zosangalatsa kuwona kusamuka kwapang'onopang'ono kwa opanga kupita ku njira yokhazikika.Kayendesedwe ka zinthu ndi zochita zimalamulira tsiku lonse padziko lapansi lomwe lili ndi ndalama zambiri pakugulitsa, chitukuko, kupeza, ndi malamulo.Izi zimalimbitsa kufunikira kokhala ndi njira yokwanira komanso yoyang'ana kutsogolo posankha kuphatikiza kwa chipangizo chachipatala ndi wothandizira wapakati omwe angathandize ukadaulo ndi zosowa zachipatala za bungwe lanu lazaumoyo.
Nthawi yotumiza: Jan-12-2017