基层两癌筛查信息平台的设计与应用知识

工作原理和系统搭建 采用数据库挖掘技术，Ｃ＃语言、PHP、平台中间件接口技术和网络技术等集成一体的新型的数据平台。基层两癌筛查区域信息平台和医院数据库紧密结合，和回访系统共享数据库信息，通过短消息回访和受检人员建立沟通的桥梁，主要硬件设备为平台服务器、存储设备、医生工作站计算机和短信模块等。

The working principle and system construction adopt database mining technology, C # language, PHP, platform middleware interface technology, and network technology to integrate into a new data platform. The grassroots cancer screening regional information platform is closely integrated with the hospital database, sharing database information with the follow-up system, and establishing a communication bridge with the tested personnel through SMS follow-up. The main hardware devices include platform servers, storage devices, doctor workstation computers, and SMS modules.

通过DMZ区发布—webservice服务，通过Web Server 同数据库进行数据交互。通过三层交换、路由器、防火墙的设置，限定IP、端口号和MAC的访问，最大限度保证访问安全和数据安全。采用C#高级语言+PHP +oracle数据库技术设计服务器端/数据模块：从受检人员的信息提取、录入、报表生成、回访（通过接口发送给短信平台），整个过程均采用信息化管理模式，数据均由平台数据模块提供，保证不同的客户端获得数据的一致性。使用HTML、CSS、JS网站和微信web开发者工具开发客户端：利用HTML、CSS、JS等动态网页开发技术，设计一套B/S架构的网站；利用微信web开发者工具设计相关微信小程序。受检人员通过网站或手机提交的数据能与平台的数据模块进行无缝对接，顺利完成筛查前期的电子问卷调查流程和后期的信息查询工作。

Publish through DMZ area - webservice service service, and interact with the database through Web Server. By setting up three-layer switches, routers, and firewalls, access to IP, port numbers, and MAC is limited to ensure maximum access security and data security. Design a server side/data module using C # high-level language+PHP+Oracle database technology: extract, input, generate reports, and return visits from the information of the inspected personnel (sent to the SMS platform through an interface). The entire process adopts an information management mode, and the data is provided by the platform data module to ensure the consistency of data obtained by different clients. Develop clients using HTML, CSS, JS websites, and WeChat web developer tools: Design a B/S architecture website using dynamic web page development technologies such as HTML, CSS, and JS; Design relevant WeChat mini programs using WeChat web developer tools. The data submitted by the tested personnel through the website or mobile phone can be seamlessly integrated with the platform's data module, successfully completing the electronic questionnaire survey process in the early stage of screening and the information query work in the later stage.

网络架构 通过互联网与主管部门、各医疗机构和个人用户进行数据交互（见图3），整个网络呈星型网络的分布特点。该型网络故障排除较容易，也接入新的节点较为方便，但根据星性网络中心节点的特点，对平台的性能、安全性和可靠性有较高的要求，故在平台建设时应充分考虑到这几点要求。

The network architecture interacts with regulatory authorities, medical institutions, and individual users through the internet (see Figure 3), and the entire network exhibits a star shaped network distribution. This type of network has easy troubleshooting and is more convenient to connect to new nodes. However, according to the characteristics of the central node of the satellite network, there are high requirements for the performance, security, and reliability of the platform. Therefore, these requirements should be fully considered during platform construction.

创新性设计 通过前期大量调研和在实践中反复调试，项目贴合基层一线工作人员的使用需求，具有较强的实用性，较大地提高工作效率；并能建立受检人员相关的两癌筛查健康档案，方便医护人员实时掌握“两癌”的发病动态和分布，有效提高管理者的管理水平和精细化程度；并且有效地减少受检人员检查等待时间，受到患者欢迎。

Innovative design, through extensive research in the early stages and repeated debugging in practice, conforms to the needs of frontline workers at the grassroots level, has strong practicality, and greatly improves work efficiency; And can establish health records related to the screening of two cancers for the tested personnel, facilitating medical staff to grasp the real-time incidence and distribution of "two cancers", effectively improving the management level and refinement level of managers; And it effectively reduces the waiting time for testing personnel, which is welcomed by patients.

围绕建立基层两癌筛查区域信息平台，优化冗余流程，提高医护人员工作效率，以及为决策和科研部门提供了大量的数据支持。通过比较分析，建立基层两癌筛查区域信息平台后，前期问卷调查采用数据结构化的方式，使得填报信息的差错率和缺项率明显降低；每位受检人员在院检查等待时间缩短20分钟以上，明显减轻了医务人员的工作量；且使得回访覆盖率有据可查，可保证达80%以上；并能提供各类数据报表，大大缩短查阅各类档案的时间，提高了管理水平。

Focusing on establishing a grassroots cancer screening regional information platform, optimizing redundant processes, improving the work efficiency of medical staff, and providing a large amount of data support for decision-making and scientific research departments. Through comparative analysis, after establishing the grassroots two cancer screening regional information platforms, the preliminary questionnaire survey adopted a structured data approach, which significantly reduced the error rate and missing item rate in filling out information; The waiting time for each tested person during the hospital examination has been reduced by more than 20 minutes, significantly reducing the workload of medical personnel; And ensure that the coverage rate of follow-up visits is well documented, ensuring that it reaches over 80%; And it can provide various data reports, greatly reducing the time for accessing various archives and improving management level.

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