The People's Hospital of Jiangsu Province, which integrates medical treatment, teaching and scientific research, realizes electronic management through the construction and implementation of the card system, providing convenient logistics services to patients and hospital staff, while minimizing labor costs and time costs, and improving hospital management. effectiveness. Based on the actual work situation, our hospital has developed the functional modules, management methods, management procedures and implementation plans of the card system to provide information technology support for the hospital scientific management, effectively improve the informationization level of hospital medical management and the market competitiveness of the hospital. And fully embody the concept of "humanization, information, health park". One-card system architecture and key technologies The card system is a comprehensive application of smart cards in hospitals. It covers all aspects of employees and patients working and living in hospitals. Therefore, the selection of system construction products needs to incorporate safety into key assessment indicators, and adopt medium-to-high-end products with national qualification certification. At the same time, in order to strengthen the safety, flexibility and scalability of the products used by the hospital, it is convenient for me to open the product agreement. The hospital or integrator conducts secondary development to meet the needs of our hospital's custom development, and realizes unified management through one card, and the features of the card line. Frame structure The card system implemented in this hospital adopts C/S architecture and B/S architecture at the same time. The software closely integrated with peripherals such as card making adopts C/S structure to realize the functions of printing card surface and initializing card key; management software is B/S structure, the card management center staff can log in to the web version of the software for daily application management. As shown in Figure 1, the card system includes access control management, consumption management, parking management and other functions. At the same time, it interacts with the HIS, personnel system and unscheduled employee system of the hospital to obtain basic information of the card service object. Figure 1 card system architecture diagram 2. System development environment The software environment of the card system is: server operating system Windows Server 2008 R2 Enterprise, configuring Windows IIS; database is SQL Server 2008 R2; client operating system Windows XP or Windows 7. The hardware environment is: including the server and the client. The hospital uses one database server and one communication server. The database server is configured as CPU: E5-2640, memory: 16G, hard disk: 900G, and the communication server is configured as CPU: E5-2640. , Memory: 8G, Hard Disk: 300G. 3. Security policy Since the hospital medical business has particularly high requirements for network stability and security, the implementation of the card system in this hospital strengthens security protection from two aspects. First, network security. This project is dedicated to the construction of a one-card private network, which is physically isolated from other networks in the hospital, fully ensuring that the data transmission between the hospital business network and the one-card private network does not affect each other. As shown in FIG. 2, the card network server, the communication server, the application server, etc. are connected in the card private network, and all the terminals and the server are transmitted through the TCP/IP protocol, which ensures that the implementation of the card system has no distance and range limitation. The card-dedicated network and the hospital business network are connected by the gatekeeper device to realize the association with the patient information in the HIS system to ensure the correct issuance of the patient's access control card; and the data interaction between the card system and the human resource system also passes through the gatekeeper. The data link is realized, and the data interaction between each system is realized by the Web Service. The use of the gatekeeper ensures that only the designated data packet of the designated port can pass through the gatekeeper device, which greatly ensures the security of the system. Figure 2 Schematic diagram of the network system of the card system Second, the card is safe. The hospital chooses the non-contact CPU card with the highest safety factor for promotion. It has the characteristics of large user space, fast reading speed, and support for one card. The CPU card uses TCP/IP-based network communication protocol to support real-time detachment. The communication mode of the machine supports the PSAM card module and is implemented by reading the file in the card. Most importantly, the card-making key is mastered by the technicians of the hospital to protect the hospital's interests and ensure the safety and reliability of the project implementation, as well as the stability of future project maintenance. Implementation and application of the hospital The card system has been implemented in our hospital since January 2014. The project has adhered to the principles of safety and open compatibility. At present, all access control system management, patient access card and HIS automatic association, employee consumption and meal attendance have been established. The meeting sign-in system and other functions are on-line, and the hospital intelligent management is realized through informationization means. System service object Jiangsu Provincial People's Hospital is a large-scale top-three hospital with comprehensive development of medical education and research. The hospital has many employees, such as formal employees, advanced students, graduate students, temporary workers, etc., hospital staff management, personnel system and unscheduled staff system are all in one card system. Through the Web service interface connection, as the information source of the staff; patient management, closely integrated with HIS, when the patient is admitted to the hospital, the card is issued, the patient's relevant access control authority and open dining consumption function are opened in the hospital, Figure 3 shows The patient's card issuance and access control procedures are opened. Figure 3 Schematic diagram of the patient card issuance process 2. Access control management The access control isolating the public free activity area and the controlled special activity area. The system must be linked with the fire protection system to ensure that the access control function is automatically released in the event of a fire, ensuring that the passage is unblocked. Management areas are divided into three categories: public areas, semi-open areas, and control areas. In the public area, both the employee card and the patient card can enter the area. The semi-open area is partially controlled for people and time with different rights, and the control area is strictly controlled. In general, according to the individual privilege level, the control personnel enter and leave different areas to control the different personnel areas, ensuring a safe and orderly hospital environment for employees and patients. 3. Attendance management In the hospital ward, various conference rooms, offices, elevator halls and other entrances and exits, the credit card machine is set up as a credit card registration attendance. The large-scale conference of the hospital has adopted the one-card system to realize electronic sign-in, and the attendance rate of the participants is counted. The employees also implemented morning and evening credit card attendance. 4. Parking management The hospital staff members enter and leave the parking lot with the card (vehicle), and the outside personnel enter and leave the parking lot with the temporary card. System background records, queries, and effective vehicle access management. The system can be controlled in conjunction with fire protection, security monitoring and other systems. 5. Catering consumption management In the consumer canteens, hospital supermarkets and other consumer places, through the card system of the card system to settle, to achieve no cash flow inside the hospital. discuss The construction of the card system involves all departments of the hospital and requires close cooperation in many aspects such as personnel, accounting, technology and logistics. During the project implementation process, the tasks are assigned to the department, the responsibility is implemented to the individual, and the coordination work is done in all aspects, thus creating a good operating environment for the implementation of the card. Information security is the focus of the current information system construction, and the degree of dependence on information is increasing. System security affects the image and service quality of hospitals. In the process of building the card system, we will focus on the construction of “system security, application security and patient safetyâ€, starting from the two aspects of card security and network security to create a safe, efficient and convenient one-card management platform. The hospital's information technology provides an efficient and comprehensive quality management service platform based on the Internet, which spans the entire nursing process management, clinical and administrative information management, and helps the hospital to achieve patient satisfaction and managers' minds. Since the implementation of the card system in our hospital for more than a year, it has facilitated the work and life of patients and employees, and made the management of functional departments more scientific and reasonable. It is a successful practice of applying information technology to the daily management of hospitals. 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