Shulou(Shulou.com)06/03 Report--

I. Informatization trend of trans-regional private medical groups

In the United States, Europe and other developed countries put forward the concept of health care 4.0: at the financial and payment level through the combination of business and national insurance Promote healthy living in clinical services (combining personal health record information with smart wear to form healthy living habits) and clinical treatment, promote the improvement of interoperability in clinical services (which can be understood as the interconnection between systems and people, devices, smart wear, public data [mainly refers to credit information, payment and insurance information)] and the establishment and sharing of health records. Promote the interoperability between medical information systems and equipment in terms of treatment technology and drug equipment, and encourage the application of big data and artificial intelligence in the medical industry. In the field of gene and genetics, we focus on breakthroughs and gradually promote gene therapy.

With reference to the trend of medical development in developed countries in Europe and the United States, the new national strategic layout revolves around the national health care, the multi-level intelligent medical service system with patients and family doctors as the core, and the combination of medical insurance and commercial insurance. Domestic private medical groups have gradually formed the industry ecological strategic layout in mobile health care, smart wearable devices, medical and health insurance, big data, and multi-level chain medical entity coverage step by step overseas. Through the construction of big data Center, we can get through the closed-loop service between mobile medical service and distributed Aier entities in various regions, smart wearable equipment and medical service closed-loop, entity chain internal medical teaching and research service closed-loop and Internet +, medical service and insurance service core risk control and clearing to provide data and operational guarantee, relying on big data in the business process for clinical, operational, scientific research multi-dimensional analysis. Focus on auxiliary diagnosis and treatment, optimization of management and operation, new business model innovation support, single disease analysis and information treatment R & D support to promote industry standardization and standardization. And through the service model to export and share these results to the industrial chain, and finally form a new framework of healthy ecological service system-cross-regional large service platform architecture.

II. Tentative ideas on the Construction of Trans-regional Service platform

The trend of cross-regional medical business model makes the business cover the national region, which is also the cross-network segment of the IT architecture. If you build a national and internal network for private institutions, it may basically account for all the IT investment, so gradually look for a suitable exit from the Internet architecture. Secondly, national coverage determines more personalized and regionally differentiated needs, regardless of policy differences, or differences in human needs and management, no matter how large the traditional IT framework is, it is difficult to meet such personalized needs, unless the application functions are divided into more details-service. Large-scale layout naturally requires big data Center to do massive data calculation, processing, analysis, storage and standardization. Based on such a pain point to build a cross-regional large service platform is a real demand, but also through the new ecological construction to drive more industry participants to complete a huge plan, the formation of new industrial innovation.

The construction of cross-regional large service platform is based on container + micro-service + Internet + big data center model. In the initial stage, the application service-oriented construction makes the IT architecture more flexible to meet the needs of personalization and innovation. In the mature stage, service capitalization, marketization and ecological operation and development are gradually formed, and the service market is formed. Finally, it develops to the demand definition service, at this stage, all kinds of basic services have been very mature, there are complete R & D, iteration, market and capitalization service operation mode, the flexibility, efficiency and cost of IT are greatly reduced, and the market of standardized component micro services is mature, and good demand and model are always the core driving force.

A good service architecture is to integrate as many architecture systems as possible under the premise of ensuring loose coupling, but at the same time unify transportation management and scheduling. To achieve integration without chaos, more but not complicated. The regional service architecture mentioned in this article solves the core storage and operation of data in the data center; in the service federation, it solves the high-speed switching, stable synchronization of the registration, distribution, routing and orchestration of various services; on the other hand, the services running each business logic are encapsulated by containers and scattered in various network nodes throughout the country.

Service federation: core service distribution routing architecture, similar to several major DNS; of the Internet, each service has a unique ID and life cycle, similar to IP and MAC in the Internet, and registers, subscribes, distributes and routes services in the service federation.

Service development: build and develop services based on data, application and functional requirements, and publish to the service store. Make a profit according to the use of the service in the store.

Service operation: formulate the relevant systems, processes, norms and standards of service market, promotion, development, transaction, supervision and operation, and obtain certain income according to service use and operation and maintenance.

Service security: most applications of large service architecture are exposed to the public network environment, based on SDN, hybrid cloud, container, big data's security service architecture, container service security encapsulation and 4A-based architecture, including service link, channel, isolation, identification, knowledge base and other security system construction.

Service assembly: based on the various functions of the service market, the service organization is oriented to the needs of users, including service orchestration, deployment, operation monitoring and management to provide a series of applications.

Data center: the core of the large service architecture design is data as the core. The data center provides data precipitation, storage, massive computing and other capabilities. The number of data centers increases as needed in the large service ecology, gradually forming two places and three centers, on this basis to expand on demand. The future depends on data evolution in the process of service development.

Service store: the service store gathers all kinds of services for classified promotion, so that the service assemblers can find the corresponding services and download, trade, after-sales, training and other related services as needed.

Application store: the service-based development can provide the application market directly to the terminal, and is responsible for the application access, classification, promotion, download, transaction, after-sales, training and so on to form the market closed-loop service system.

III. Infrastructure positioning under the framework of regional services

Under the complex large service architecture, the complexity of the application requires automatic operation and maintenance, scheduling, monitoring and scheduling. The requirements for the operating system layer are no longer interface, function visualization, convenience and so on. At this level, the choice of Linux is more possible. Of course, under the new architecture, we need to adopt different underlying hardware architecture according to the needs of different scenarios. But the overall key demand points are in the following two aspects.

1. Integration and resource pooling and platform based on underlying hardware and driver

Under the framework of cloud services, the infrastructure develops to computing resource pool, network resource pool and storage resource pool. The traditional operating system is repositioned as the integration of underlying hardware and drivers, and finally forms a unified three resource pools. the rise of OpenStack kvm computing virtualization, ceph distributed storage architecture and Docker container technology directly drives the development of Linux market. At the same time, the complexity of application services under the regional large service architecture requires more automatic and intelligent development, deployment, operation and maintenance, choreography, monitoring, scheduling, etc. beyond the traditional physical machine, the complex requirements in the SDN environment can not be solved from the operating system itself, so we have to seek solutions from new architectures such as OpenStack, Zookeeper, kubernetes and so on. Manual operation and maintenance is no longer the first choice. All these requirements for the operating system layer are no longer interface, functional visualization, convenience and so on, which makes the advantages of Windows gradually fade, and the choice of Linux is more likely. Of course, under the new architecture, we also need to adopt different underlying hardware architectures according to the needs of different scenarios, and it is very difficult for a single architecture to complete the operation and processing of massive data. the integration of different infrastructure, such as large and medium-sized computers, super-convergence, private cloud, public cloud, traditional storage, distributed computing and storage, gradually leads to resource pooling and platform integration. For example, the infrastructure of service federation needs to support the requirements of discreteness, high concurrency, high response, high availability, stability and scalability, and the positioning of IBM LinuxONE is worthy of recognition.

two。 Provide a common operating environment for specific applications and platforms, focusing on distributed load, security isolation, and resource scheduling

At the overall level, it is a trend to build large resource pools and platforms to integrate. If Linux can integrate OpenStack-like architecture into operating system kernel-level support based on the advantages of the operating system itself (such as based on LXZ), or even if Google makes a cloud operating system on this basis, it will be a certain accumulation and attempt, which will at least reduce the performance loss by about 10% and provide lower technical barriers, and will become a new blue ocean.

Overall, cross-regional medical groups is an industry trend, the new business form cross-regional large service platform architecture is bound to become mature and ecological, but also will put forward a new direction for the traditional infrastructure.

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