医疗云上健康新生态课件.pptx

1、目录Outline健康医疗业务服务的趋势和多样化健康医疗业务服务的趋势和多样化Healthcare Business Services: Challenges & Trend医院业务服务的微服务化及医院业务服务的微服务化及API治理治理Hospital Business Services: Microservices & API Governance区块链及网络功能微服务区块链及网络功能微服务Blockchain and NFV as Microservices混合云及数据中心策略混合云及数据中心策略Hybrid Cloud and Data Center Strategy大健康向左走，降低成

2、本提升质量Assisted LivingSkilled Nursing FacilityResidential CareAcute CareSpecialty Clinic Community HospitalInpatient / AcutehighlowhighLevel of Patient AutonomylowCost of CarelowTelemedicineGo left to improve quality of life, reduce costhighHome CarePopulation Health withSenior Care for Aging in Weara

3、blesPlaceRemote Patient MonitoringQuality of Life医疗服务的新趋势Medical Service Trends in Healthcare技术催生多样化的医疗业务形态Diversified Healthcare Business Models Driven by IT互联网医院互联网医院Internet Hospital远程医疗远程医疗Telemedicine医联体医联体Hospital Union健康管理健康管理Health Management5医养结合医养结合Aging Medical Care医药分开医药分开Separation of C

4、linic From Pharmacy微服务 Microservices医院业务应用的微服务化Hospital Business Decomposed as MicroservicesREST API挂号Registration数据库适配器ADAPTERRegistration DatabaseREST API支付Payment数据库适配器ADAPTERPayment DatabaseREST API药房Pharma数据库适配器ADAPTERPayment Database虚拟机实例 EC2 Instance 1DOCKER CONTAINER 容器挂号RegistrationREST API

5、DOCKER CONTAINER 容器挂号RegistrationREST API虚拟机实例 EC2 Instance 2DOCKER CONTAINER 容器挂号RegistrationREST APIDOCKER CONTAINER 容器挂号RegistrationREST API负载均衡器Load Balancer单个微服务易于开发、理解和维护Faster to develop, much easier to understand and maintain每个服务可自由选择开发技术单独开发Free to choose development technologies每个服务可独立快速部署

6、Deployed independently and rapidly每个服务可独立扩展Scaled independently & easily优势 Advantages分布式系统中进程间通讯更复杂Complex IPC mechanism in distributed systems分区数据库的事务一致性难保证Business transactions issue due to partitioned database服务间依赖关系影响测试和变更Test & change impacted due to dependencies among services高可用部署困难Hard to de

7、ploy for high availability不足 Drawbacks6典型的针对患者的移动 APP 同时使用多个微服务A Typical Patient Mobile APP Consumes Multiple Microservices in One Page挂号RegistrationREST API支付PaymentREST API检查Lab TestREST API导医GuidanceREST API候诊AwaitingREST API通知NotificationREST API客户端直接访问微服务客户端直接访问微服务Direct Access to Microservices

8、客户端实现复杂Complex client side coding不能支持某些Web不友好的协议Unable to handle web-unfriendly protocols难以应对可能的服务重构Challenge to adapt to restructuring of microservices7ONC关注利用APIs提供更多的健康服务ONC Focus on Improving Individuals Shopping for Their Own Care Through APIsONCs interoperability efforts focus on improving ind

9、ividuals ability to control their health information so they can shop for and coordinate their own care. While many patients can access their medical information through multiple provider portals, the current ecosystem is frustrating and cumbersome.National Coordinator for Health Information Technol

10、ogy数据安全数据安全Data Security8成本成本Cost新生态新生态Echo SystemAPIs的技术演进和互操作性发展Technology Evolution of APIs and Interoperability DevelopmentAPIs AccessEDI机器解读，格式简 单，数据共享内容 有限重量级，基于标准的互操作简单易用的REST APISOA for Healthcare 支持基于临床数据的创新App应用 通过数据分析提供数据服务 为第三方提供标准化的数据 接口 架构的变革 实施复杂 性能和效率 在私有网络中进行的 成本高9用简单的方法解决复杂的问题APIs将

11、数据提供给数据 使用者以及创新合作 伙伴，带来的价值远 远超出想象微服务APIs的部署The deployment of Microservices and APIs公有云Public健康云Public 2私有云Private医院数据中心Hospital data center外联平台Outreach Platform10基于 FHIR 实现APIs对数据标准的访问APIs using FHIR allow applications to access data in a standardized wayREST消息消息Message文档文档Document服务服务ServiceCDA FHI

12、RFHIR 资源资源RESOURCESFHIR 支持不同的互操作范式The FHIR Standard Supports Multiple Interoperability ParadigmsH L 7 C D A XDS11通过 API 网关管理 API 的使用Manage API Consumption Through API Gateway简化通讯 simplify client-service communication简化客户端代码 simplify client-side coding挑挑战战Bad又一个高可用组件 new component developed成为更新瓶颈 bot

13、tleneck when add service pointsAPI网关网关GATEWAYREST API请求转发 与合成Request routing, composition协议转换Protocol translationFHIR CDA/XDS/HL7认证和授权Authentication & access control监控Health check & monitoring负载均衡Load balancing缓存CachingCache policies请求分片 和管理Request shaping & management静态响应处理Static response handling高

14、性能/高可用/ 可扩展High performance, availability, scalability支持各种异步和同步通信机制Support various inter- process communication mechanism支持服务注册与发现Support service registration and discovery故障处理Fault handling优势优势Good12交换机/路由器/防火墙 Switch/Router/Firewall医院外网Hospital InternalNetwork医院 SaaS 服务Hospital SaaS Services医院业务微服

15、务及APIs网络拓扑A Hospital Microservice Network Diagram医院内网Hospital Internal NetworkDMZ 区域外部客户端ClientsAPI网关GATEWAYREST API支付PaymentREST APIHIS挂号REST RegistrationAPI智能诊断Image AIREST API门诊OutpatientREST API医嘱REST Medical OrderAPI基基层层PACSPrimary Care PACS医生DoctorWeb UI医院门户医院门户HospitalPortal患者主索引REST Patient

16、IdentityAPIEMR第三方系统/服务 3rd Party Services银联UnionPay医保Insurance健康卡Health CardVPNDDNDDN语音服务NLPInternet医药采购Pharma医联体Hospital Union远程医疗Telemedicine疾控CDC13基于SGX的联盟链保障高性能可信交易和数据安全SGX-Based High Performance & Trustworthy Consortium BlockchainAPI网关GATEWAYREST API区块链节点Blockchain Node区块链节点Blockchain Node区块链节点

17、Blockchain Node医生Doctor患者Patient基层医院Primary Care Hospitals区块链基础设施 Blockchain Infrastructure挂号RegistrationREST API区块链BLOCKCHAINREST APIScalabilityTypical Consensus私钥管理Secure key mgmt. (private key storage)远程证据Trust(remote attestation)共识Consensus (efficientblock-leader election)隐私Privacy (data protect

18、ion from 3rd parties)SDN / NFV专用网络硬件专用网络硬件Dedicated Network HW虚拟网络 敏捷安全动态配置Virtualized Network - Agile, Secure and Dynamic Provisioning防火墙FirewallVPN入侵监测系统Intrusion Detection SystemSDN/NFV基础设施基础设施TEM/OEM专有OSASIC, DSP,FPGA, ASSP至强处理器网卡加速卡SwitchSilicon开源服务器是新一代网络平台Enabling the Server to Become the New

19、 Networking Platform防火墙Firewall虚拟专网VPN客户终端设备CPE深度包检测DPI分组数据网关PDG软件定义架构(SDI)的部署Deploy Software-Defined InfrastructureService OrchestrationCompute ControllerPolicy-Based AutomationSelf-Service PortalNetwork ControllerStorage ControllerSecurity ControllerServersVirtualizationInfrastructure PoolVMsVirtu

20、al RouterVirtual FirewallVirtual VPNVirtual SANScale Out StorageLegacyStorageInfrastructure AttributesContainersPowerPerformanceThermalsUtilizationLocationLatencyDurabilitySecurity集中式自动化Centralized and Automated平台能力Platform Capability池化、虚拟化资源Aware Pooled, Virtualized Resources现成的服务器平台Readily Availab

21、le Server-based Platforms已有系统的可容纳性Accommodates Legacy结合具体情况，选择最适合的SDI模式Choose the Best SDI Model For Your Use Case高可扩展性：提升单个组件如 何以及何时扩展性和灵活性Highly Scalable: Increased flexibility with how and when individual components are scaledVirtualizationCertified factory built超融合超融合Hyper-ConvergedHardwareCompo

22、nents pre-integrated and optimized in appliance by vendorVirtualizationCertified factory built融合融合ConvergedHardwareIndividual components integrated by end userVirtualizationCertified compute, networkand storage传统传统ITTraditional IT有限的可扩展性Limited scalabilityHardwareSilo d infrastructureComputeNetworkS

23、torage高可扩展性：最大化集成以增 加规模和部署Highly Scalable: Maximum integration for easy scale and deployment基础架构的一致性至关重要Consistent Infrastructure Matters全行业经针对英特尔架构开发和全行业经针对英特尔架构开发和 优化企业级软件和应用优化企业级软件和应用Industry has developed enterprise softwareoptimized for Intel Architecture不可互操作的虚拟化基础设施不可互操作的虚拟化基础设施 导致孤立的计算资源导致孤立

24、的计算资源Non-interoperable virtualization infrastructure requires isolated compute silos英特尔架构的“云”均已优化，支持各种“云”间的动态迁移All intel clouds are optimized for live migration between cloudsNon-IA助力企业混合云战略Why Intel on Hybrid Cloud?改变今天改变今天，共创共创明明天天Lets us help you transform today and prepare for tomorrow云计算核心 的领导者

25、Cloud Leadership企业IT实践Enterprise IT Experience独一无二的合作伙伴Unique Partner英特尔至强可扩展处理器是全球云计算的核心Intel powers the cloud with Intel Xeon Scalable processors at the foundation of a significant portionof the worlds clouds全球生态系统深度携手全球最大企业ISVs、云提供商、系统 供应商，打造强大的解决方案提供商生态系统Unparalleled EcosystemDeep engagement wit

26、h the largest global enterprise ISVs, cloud providers, system vendors creates arobust ecosystem of solution providers英特尔的IT谙熟IT，管理着公司内部14万台服务器和64个数据中心Intel knows IT with its own experience managing 140K servers & 64 datacenters作为独一无二的合作伙伴，英特尔可以帮助您 为未来的混合云技术解决方案而构建As a unique partner, Intel can help you transform with hybrid cloud technology solutions built for the future of IT