From Tencent, Ali, Weining, and Lian Ying at the CHIMA conference, we have come to this judgment.

From July 12th to 15th, Guiyang, Guizhou, the sun is like a fire.

The China Hospital Association Information Network Conference and China-Foreign Medical Information Network Technology and Products Exhibition (CHIMA 2018), sponsored by the Information Management Committee of the China Hospital Association, attracted more than 5,000 national medical information industry practitioners to participate in the arterial network. Cooperative support media participated in the entire report of this conference.

At this conference, Tencent, Ali, Weining, Lian Ying and other leading domestic Internet, HIT and medical device companies have launched their own innovative solutions and products. It can be seen from the cases of these enterprises that the current development trend of the domestic medical information industry has begun to integrate products around the intelligent construction of hospitals. This kind of integration involves the cross-border product of multi-domain enterprises and the intelligent upgrade of products in the sub-sector.

The arterial network judges that in the future medical information industry, there will be no more industry leaders who are purely traditional medical information services, IT giants who only make edge ball products, or medical equipment unicorns in the pure sense. It is a comprehensive solution provider that integrates innovation and traditional services (including industry-wide data disaster recovery, cloud security and other companies). This also means that the medical information industry will be accompanied by the intelligent transformation of hospitals, ushered in a new round of competition after cross-border integration.

The following is a microcosm of several companies observed in the arterial network of this conference.

Tencent, who made its debut at CHIMA, brought a number of eye-catching innovations at the conference, including: Diversified healthcare digital solutions, full-cycle health services based on regional medical information connectivity, and intelligence based on Tencent's AI engine. Medical services, medical big data visualization programs, etc. At the same time, Tencent Smart Security, Tencent Cloud, Enterprise WeChat, Tencent Simultaneous and other businesses were exhibited together.

At this summit, Tencent raised three key words around the Internet hospital:

Keyword 1: Simplification - Simplify the medical treatment process, improve decision-making efficiency, and increase medical service satisfaction.

Keyword 2: Accuracy - Accurately match medical resources, upgrade medical treatment health scenes, and improve medical efficiency.

Keyword 3: Connectivity - Connect the fragmented data of medical care to achieve interoperability.

At the same time, security is the cornerstone of building an Internet hospital.

Based on these three key words, Tencent has made three successful practice cases:

1, Tencent Fudan University Cancer Hospital medical work together to create accurate patient service platform

Fudan University Affiliated Tumor Hospital is a well-known oncology hospital in China. Every day, a large number of patients and family members from all over the country come to the hospital. Tencent Medical and Hospital have reached a strategic cooperation since September 2017, starting with the WeChat e-mail card and gradually deepening into the AI ​​capability upgrade. The two parties took the lead in optimizing the process and moving the offline service to the online line. The implementation of WeChat completed the process of no-card medical treatment, appointment diagnosis, WeChat payment, medical reminder, report inquiry, dynamic waiting queue reminder, etc.

(Wang Wei, Director of Information Department of Fudan University Affiliated Tumor Hospital, is explaining the case of Smart Hospital)

Since the project was launched, as of May 2018, more than 80,000 patients have used WeChat cardless medical services, 77,000 WeChat registrations, 130,000 mobile payments, and nearly 350,000 online inspection reports. Inquiries, the average visit time per patient was reduced by 150 minutes, saving more than 100,000 hours for patients. Accurate appointments greatly improve the efficiency of outpatient clinics, and the accuracy rate through the AI ​​engine audit reaches 99.2%.

2, Tencent "Internet + medical health" urban solutions all-round landing Yichang

(Zhang Qiong, director of Yichang City Health and Family Planning Commission, is explaining the case of urban-level smart health)

Yichang City Health Planning Commission and Tencent, the two sides use the "Yijiantong" small program as an innovation carrier to create a healthy butler service for the residents of Yichang, providing real-time intelligent reminders from the production inspection, recording fetal development data, and intelligence for childhood Health services, health self-management after adulthood, and full-life medical health services for the care of chronic diseases in the elderly.

In addition, Yijiantong is able to analyze potential disease possibilities and early warning of disease risks with the help of artificial intelligence and big data capabilities. When there is a need for medical treatment, "Yi Jian Tong" provides one-stop medical services, including intelligent triage, appointment registration, online payment, inspection inspection results and so on. At the same time, big data visualization, artificial intelligence, information security and other capabilities for the "Internet + medical health" smart health city to improve management efficiency, operational efficiency and security guard.

3, Tencent Smart Security helps build the copper wall of Zhejiang University Children's Hospital

The Children's Hospital affiliated to Zhejiang University School of Medicine is the earliest and largest Sanjia Children's Hospital in Zhejiang Province. With the new business of “Internet + Medical”, the risk of network information security faced by medical institutions has also been multiplied. The Children's Hospital of Zhejiang University also faces the challenge of security problems such as insufficient operation and maintenance capabilities. Tencent Smart Security has proposed a cloud + end stereo security protection solution.

In terms of border security protection, Zhejiang University Children's Hospital has deployed Tencent Royal Threshold Advanced Threat Detection System, with Hubble Analysis System as the core, using machine learning and behavior detection models plus scenario strategies to deeply analyze and detect APT attacks and traffic anomalies. Perception, ransomware detection, exploit detection, and threat intelligence delivery.

Tencent Royal Terminal Security Management System provides private cloud anti-virus and vulnerability repair services for more than 700 terminals in the hospital, establishes a dual defense system for the terminal, and provides security defenses for key locations of the system and various ways that may fall to the computer. Tencent Yujian intelligent situational awareness platform uses artificial intelligence, big data and intelligent visualization to in-depth detection and analysis of internal and external threats and risks faced by hospitals, and builds a safe detection, analysis, early warning and response for hospitals. The security situation monitoring and early warning platform helps the hospital realize the closed loop of the whole network security situation with visible, visible and controllable.

The synergy and sharing of information is a hurdle for today's modern enterprises, hospitals, and medical service systems. The reason why the Western Hospital lags behind the coastal areas is that the main reason for the traffic is inconvenient. Now the traffic is solved, and the lack of information is a major reason for suppressing the development of the west. Wang Cai, former deputy director of the Statistics and Information Center of the National Health and Family Planning Commission and chairman of CHIMA, said at the summit. "I hope that the Western Hospital Assistance Program will truly enhance the coordination of the Western Hospital and empower our reform and development. The common people enjoy high-quality, high-efficiency medical services after the synergy."

In response to this problem, this time, Ali has launched the “Nailer's Future Hospital Products and Western Hospital Assistance Program”. The aim is to help the assisted hospitals in the western cities to obtain a series of mobile applications such as the mobile mobile platform, the medical management cloud, the shift management, the Dean's Daily, and so on, through voluntary compulsory lectures, intensive training and free mobile application deployment. Management effectiveness and information capabilities. At the same time, through the nailing platform, the western medical system can help establish a medical community information platform, realize two-way referral and resource sharing, and effectively improve the optimization and transformation of the western medical and health system.

It is understood that the future hospital products and the Western Hospital Help Program include the “Lianfan Shiban” provided by Hangzhou Lianfan, the “Medical Management Cloud” provided by Shanghai Wanhu, and the “Management Daily” provided by Guangzhou Medical Bo. The excellent products on the nail platform cover all aspects of hospital daily management and management, such as shift management, document circulation, conference management, and management daily reports.

Nail future hospital products are preferred to all Western hospitals. In addition to free and open, a series of actions and arrangements will be carried out, including offline clinics, lectures, and practice deployment and centralized training for free applications. The Western Hospital Assistance Program was first piloted in two provinces, the first being Ningxia and the second being Guizhou, hoping to help Western Hospital improve management information.

“Take two-way referrals as an example. We set up an online center in the county hospital, set up a management organization offline, and created a nail referral work group to realize online communication of the whole process. Efficient, environmentally friendly, process traceable report And accurate analysis has greatly improved the people's sense of access to medical treatment." Yang Weiquan, director of the Health and Technology Committee of Tongren City, Guizhou Province, said at the summit that many health system units including Tongli City, including municipal medical institutions, are using nails. nail.

(Yang Weiquan, director of the Weiren City Health Planning Commission of Guizhou Province, at the press conference)

According to Yang Weiquan, in the past, the follow-up work of family doctors was very large and the effect was low. The paper treatment taken during the follow-up was not shared by the team members. “We have now used nails to allow residents who need to follow up to record on the mobile phone side, and data sharing between members can be provided to the residents during the follow-up process.”

"By nailing online management and other systems, we achieve the homogenization and management level of each unit, and while sharing convenience, we can ensure the security of information." Yang Weiquan said.

At this CHIMA meeting, Shanghai Children's Hospital/Shanghai Jiaotong University Children's Hospital and Weining Health jointly held a media communication meeting on “Medical AI – From Creation to Landing”.

In February 2018, the "CHBoneAI - Artificial Intelligence-Assisted Bone Age Detection" system jointly developed by Shanghai Children's Hospital/Shanghai Jiaotong University Children's Hospital and Weining Health was officially launched. It started running in parallel in early April, just over 3 months. More than 5,000 cases of pediatric bone age diagnosis, from reading to bone age report only 30 seconds, the average absolute error is only 0.43 years, the diagnostic accuracy rate of 98%.

According to Mr. Yu Guangjun, Dean of Children's Hospital of Shanghai Children's Hospital/Shanghai Jiaotong University, “Artificial intelligence has been widely used in various industries, and its combination with imaging is a very good entry point, because this is It is a strong demand of the hospital. We also carefully considered when we chose the partner. On the one hand, we hope that the other party has strong scientific research capabilities, and on the other hand, we have rich experience in the implementation of medical informationization. We and Weining Health Satisfactory results have been achieved in the detection of bone age by artificial intelligence, which not only greatly improved the efficiency of pediatric imaging doctors, but also laid the foundation for the development of pediatric imaging and the establishment of a large sample of bone age database for healthy children in China."

According to him, in the future, the hospital will also carry out deeper artificial intelligence exploration in more fields, such as pathology, cytology, children's Kawasaki disease, and children's lung infections.

Director of the Shanghai Children's Hospital/Shanghai Jiaotong University Children's Hospital Imaging Department Yang Xiujun was deeply introduced when introducing the original intention of the project. He believes that unlike the adult bone age test, the demand for children to detect bone age is huge, and the traditional labor The way to read the X-ray film to determine the bone age is often too long, and the accuracy is difficult to control. A bone age map book is quickly turned over by pediatric imaging doctors.

Moreover, the resources of pediatric imaging doctors are scarce, and they are faced with a large number of pediatric patients, how to use the power of artificial intelligence to liberate them from the tedious work of contrasting reading, more focus It is the original intention of the hospital to do this project to provide better medical services for patients.

“In August last year, our artificial intelligence solutions and algorithms have been patented. This project has been established since 17 years. We are the team that pioneered and proposed the combination of AI and bone age detection in the industry.” Weining Health Labor Dr. Chen Xu, head of the intelligent laboratory, said.

According to him, "Weining has two major advantages in the exploration of artificial intelligence. First, we have a large number of hospital customers as the basis. We can sense and give feedback in the first time of these hospitals. Second, we act as The medical information solution provider, the hospital's various data is finally gathered on the data integration platform, which provides a large amount of multi-modal data for research. The laboratory has embedded the AI ​​algorithm as a service into the hospital's business system. Doctors provide complete solutions, which are innovations in the industry."

Like Tencent, Shanghai Lianying Medical Technology Co., Ltd. is also making its debut at the CHIMA conference. At this conference, they released the uCloud Lianzhi Smart Medical Cloud, covering eight solutions deployed in the cloud: grading medical treatment, intelligent cloud PACS, smart operating room, cloud equipment, intelligent diagnosis, cloud film, hospital-specific cloud , family doctor signing platform.

(Lian Ying uCloud Lian Ying Smart Medical Cloud Product Display Stand)

1. Intelligent cloud PACS solution to help hospitals achieve digital transformation

PACS is an information system used in hospitals to store and manage medical images produced by medical imaging equipment such as CT and MR. However, with the continuous development of technology, traditional PACS can no longer meet the increasing demands of the digital medical era.

1. Limited storage space: With the increasing number of medical imaging inspection equipment in hospitals, the storage space of the originally constructed PACS system can no longer meet the increasing image storage requirements, and the new storage capacity is accompanied by high information construction costs.

2. Information between departments is not connected: The cooperation between clinical departments and radiology departments is getting closer and closer. The traditional PACS system cannot meet the needs of medical imaging data transmitted from the examination department to the clinical department through the network.

3, diagnostic efficiency and accuracy need to be improved: medical imaging diagnosis has gradually developed from the auxiliary examination means to the most important clinical diagnosis method of modern medicine, but the speed of manual diagnosis is limited, easy to misdiagnosis and missed diagnosis, and intelligent diagnostic tools are needed to help doctors improve the diagnostic efficiency and Precision.

Lianzhi Intelligent Cloud PACS is based on cloud and intelligent as the core. The cloud is equipped with 17 advanced applications and 6 intelligent diagnostic applications to help improve diagnostic efficiency and diagnostic accuracy, and build a smart, efficient and convenient PACS system covering the whole hospital.

1. Mass storage: On the basis of in-hospital deployment and cloud deployment, a new deployment method—hybrid deployment, can be used to complete daily business process work in the courtyard, and the cloud implements storage functions. While ensuring the stable and reliable business in the hospital, it can make full use of the massive storage space of the cloud, effectively combining the advantages of in-hospital deployment and cloud deployment.

2, high-speed and efficient: multi-process synchronous transmission, thousands of CT images can be stored to the cloud server within 1min; using "full-text search" technology, the retrieval speed can reach 10 million data seconds; using pre-processing technology, processing 3D images in advance, Thereby reducing the loading time, both the 3D image and the 2D image can be quickly rendered within 1 s.

3, the whole department coverage: a full range of radiology, ultrasound, endoscopy, pathology of the various inspection departments of the business process; provide clinicians with a report, browse images and other tools to achieve a key sharing of clinical and clinical data, to help clinicians Timely access to the original diagnostic information; provide a unified HIS fusion platform, facilitate PACS rapid deployment and docking HIS, so as to achieve integrated integration of the hospital, the patient's all-round image data access is not limited by time and space.

4, intelligent diagnosis: equipped with 17 advanced applications and 6 intelligent diagnostic applications, covering a full range of DR, CT, MR, PET-CT and other image types, including cardiovascular, intestinal, lung, brain, limbs, chest , the disease of multiple parts such as the breast, improve the doctor's diagnostic efficiency and diagnostic accuracy.

2. Landing case: Yichang Central People's Hospital

In March 2018, the Lianxiang Intelligent Cloud PACS was put into use in the People's Hospital of Yichang, Hubei Province. It has covered one main hospital and two branches (Jiangnan Branch, Sanxiaba Branch). As of July, nearly 5,000 inspections have been uploaded to the Joint Intelligent Cloud PACS, 1333 radiological examinations, and 4220 ultrasound examinations.

In addition, Lian Ying also customized the reservation management platform for the hospital to be installed on the Lianzhi Intelligent Cloud PACS, allowing patients to make inspections and check reports and films directly through the mobile phone, eliminating the trouble of queuing and paper printing film.

In addition, at the press conference, Lian Ying also highlighted its grading diagnosis and treatment solution, which has achieved remarkable market results: the grading diagnosis and treatment projects established by the joint government and hospitals have been spread all over Shanghai and Anhui. 17 provinces including Fujian, Hubei, Shaanxi, Liaoning, Sichuan and Tibet cover more than 630 hospitals at all levels, with more than 100 million people.

Guizhou, where the CHIMA conference is held, is one of the locations where the joint-level grading diagnosis and treatment solution is located. In June 2016, Zunyi City, Zunyi City became the first batch of remote medical work in Guizhou Province. With the help of Lianying, the “Lianying-Zunyi City Broadcasting Area Regional Imaging Center” was established: with the People’s Hospital of Bozhou District as the center. The first hospital in Zunyi City, under the 19 township health centers, all the films collected by the grassroots hospitals can be uploaded to the People's Hospital of the State of Borneo, where the district doctors can see the diagnosis, and the average hospital patients can receive the diagnosis in less than 30 minutes. report.

This effectively alleviates the problem of patients in remote areas and the difficulty of seeing a doctor. It allows local patients to enjoy the services of higher-level hospitals at home, and the primary hospitals are also effectively activated. Taking the duck town of Bozhou District as an example, “During the two years of telemedicine landing, the number of DR images in our hospitals has increased by 50% year-on-year, the outpatient volume has increased by 17% year-on-year, and the number of hospitalizations has increased by 30% year-on-year. The average daily average is only a dozen patients. At present, there are up to forty or fifty patients in a day. In addition, the development of telemedicine has also purchased several new equipment for the hospital, which has improved the technical level of the entire department.” Shu Yuanzhi, dean of the Duck Town Health Center said.

According to statistics from the Yaxi Town Health Center, more than 90% of local patients have returned to the Duck Town Health Center for medical treatment in the past two years, and the physical examinations of all major patients have been implemented locally, saving more than 500,000 yuan in transportation expenses for the masses. , more than 34 million yuan hospitalization fee.

Gao Chuan, vice president of the Lian Ying Medical Software Division, said: "An important issue that needs to be addressed in the construction of the imaging center is that the levels of different medical institutions and different medical institutions are uneven, resulting in different quality of films. Recognizing that the patient has to repeat the filming. In this regard, Lian Ying has established a good communication mechanism and a unified quality control platform for hospitals at all levels, helping the upper and lower hospitals to form uniform standards in equipment configuration and operation specifications, and to achieve the same inspection type. Consistently produced in different hospitals, it not only helps patients avoid unnecessary re-examination, but also significantly reduces health care expenses."

He concluded that the successful construction of the imaging center is inseparable from high-quality medical information software, and it is inseparable from high-quality medical equipment . Only the seamless link between software and hardware forms a systematic and integrated daily operation and problem response mechanism to ensure the effective operation of the entire graded diagnosis and treatment system.

In addition, Lian Ying recently deployed three intelligent diagnostic applications, including self-developed intelligent medical examination films, automatic lung nodule screening and intelligent bone injury identification, to the telemedicine center in Bozhou District to help local doctors complete more efficiently and accurately. diagnosis.

As a brother company of Lian Ying, Lianxin Medical's booth and Lian Ying back to back are close together. At this conference, Lianxin not only exhibited the products of the existing intelligent ward series, but also exhibited its latest research and development products.

(Lianxin Medical Exhibition Booth)

In the hospital information construction, the informationization and automation construction of pharmacies are slightly behind. Some pharmacies in domestic hospitals, database management of medicines have applied database management, and medical orders for drug distribution can also be extracted through electronic cases. However, there is still a lot of work, such as the distribution and management of medicines, which are still operated by a large number of people. Human problems in drug distribution seriously jeopardize the interests of hospitals. Therefore, there is still much room for development in the informationization and automation construction of hospital pharmacies.

Lianxin released a heavyweight product during the conference - the ward intelligent drug management system (referred to as "smart medicine cabinet"). The system is centered on ensuring drug safety, and the hospitalized pharmacy is placed in front of the ward. It can be used in wards and ICUs. It can quickly access drug information through remote docking with HIS system, remotely manage safe storage, inventory and validity batch number of wards, precise tracking and automatic adjustment, and realize closed-loop management of all-process drug in hospital. Fine management of the "last hundred meters".

(Lianxin ward intelligent drug management system)

Whether it is the first time to participate in the CHIMA conference Tencent and Lian Ying, or as the industry's old companies Weining Health and Lianxin Medical, can see the integration of information technology business between enterprises in 2018. In this revolution triggered by artificial intelligence and big data, we will judge the company's innovation ability, including the integration and intelligence of traditional business, and the ability of the new integrated business to reach the hospital. Maybe next year, you can see more products with this property.

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