Tp ch Khoa hc HQGHN, Khoa hc T nhin v Cng ngh 25 (2009) 205-210

Thit k cu trc c s d liu trong qun l

thng tin bnh vin
V Duy Hi*, Nguyn c Thun, Hong Quang Huy
B mn Cng ngh in t v K thut T Y sinh, Trng i hc Bch khoa H Ni
S 1 i C Vit, H Ni, Vit Nam
Nhn ngy 6 thng 3 nm 2009

Tm tt. Bi bo trnh by kt qu nghin cu thc trng thu nhn, x l v lu tr thng tin ti

cc c s y t hin nay ti nc ta, t xut m hnh cu trc c s d liu dng qun l
thng tin trong bnh vin bng vic ng dng cng ngh thng tin v truyn thng. Cu trc c s
d liu xy dng bao trm c hu ht cc thng tin cn qun l trong bnh vin hin nay. T
vic tng hp cc phiu tr kt qu ca cc bnh vin ln trn c nc, vic qun l thng tin
trong bnh vin s bao gm: qun l thng tin bnh nhn, thng tin bnh n, d liu xt nghim,
kt qu chn on, phng php iu tr, ti chnh, dc, trang thit b y t v qun l cc hot
ng chung ca bnh vin. Trn c s , xy dng cu trc c s d liu lu tr ti my ch
ca h thng sao cho c th ph hp vi hu ht cc bnh vin ti cc tuyn trn c nc bng vic
s dng h qun tr MySQL Server2000.
T kha: Bnh vin in t, bnh n s, h thng lu tr v truyn nh y t, thng tin bnh vin.

1. Gii thiu

(huyt hc, sinh ha, vi sinh), cc thit b thm

d chc nng (in tim, in no, in c)
iu ny gy ra kh nhiu kh khn trong
vic lu tr, qun l, tm kim, c bit l vn
chia s thng tin trong cc c s y t [1].

Vic qun l thng tin trong bnh vin vi

vic ng dng cng ngh thng tin v truyn
thng hin nay nc ta ang l vn ln t
ra i vi cc c quan qun l cng nh cc c
s y t v nhng u im vt tri ca n so vi
phng php qun bng l s sch hin nay.
Thm vo , theo pht trin kinh t ca t
nc, cc loi trang thit b y t cng ngh cao,
hng ngy to ra mt khi lng khng l cc
d liu lin quan ti bnh n ca bnh nhn nh
cc loi thit b chn on hnh nh (siu m, X
quang, CR, MRI), cc thit b xt nghim

Trn th gii, cc nc pht trin tn

dng trit th mnh ca nn cng ngh thng
tin to ra nhng h thng qun l, lu tr v
chia s thng tin y t nh: H thng PACS, h
thng HIS hay h thng RIS[2]. Tuy nhin,
vi iu kin c s h tng ca Vit nam, c
bit l v kinh t, chng ta cha th p dng
hon ton m hnh ca nhng h thng qun l
ny c [1]. T nhng nghin cu trn thc t
ti cc c s y t, tham kho kin ca cc nh
qun l, nhm nghin cu xut mt m
hnh cu trc c s d liu dng qun l, lu

_______

Tc gi lin h. T.: 84-4-38682099

E-mail: haivd-fet@mail.hut.edu.vn

205

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V.D. Hi, N.. Thun / Tp ch Khoa hc HQGHN, Khoa hc T nhin v Cng ngh 25 (2009) 205-210

tr v chia s thng tin trong bnh vin. Vi m

hnh cu trc c s d liu ny, cc c s y t
c th ng dng c ngay thc hin vic
qun l ton b thng tin trong bnh vin cng
nh qu trnh vn hnh ca n v mnh theo
m hnh Bnh vin in t vi chi ph u t
thp.
2. Xy dng cu trc C s d liu
2.1. Kho st thc trng vic lu tr thng tin y
t ti mt s c s
Qua vic tm hiu v quy trnh hot ng,
c bit l vic lu tr v qun l thng tin y t
ti mt s c s y t ti cc tuyn, nhm nghin
cu thy rng hu ht cc n v vn s dng
phng php qun l v lu tr hon ton th
cng, thng tin trong bnh vin vn c qun
l di dng s sch, giy t. Mt s n v
cng s dng my tnh trong vic qun l d
liu nhng cng rt n s v ri rc, cha
thnh h thng [3,4].

ng dng c cho tt c cc c s y t hin

nay. Cc thng tin cn qun l bao gm:
Qun l thng tin bnh nhn:
Thng tin bnh nhn cn c lu tr trong
c s d liu ca bnh vin bao gm: thng tin
v c nhn, thng tin v bnh n v thng tin v
qu trnh iu tr.
- Qun l thng tin c nhn gm: M bnh
nhn, h v tn, gii tnh, nm sinh, dn tc,
qu qun, quc tch, ngh nghip, i tng,
mt m truy cp, in thoi, i tng, m th
bo him (nu c), m cng ty bo him, ngy
bt u, ngy kt thc, thn nhn bnh nhn.
Cc gi thit ph thuc hm xut: mi
bnh nhn s c mt m duy nht trong h
thng c s d liu. Mi th bo him y t ch
do mt cng ty bo him cp.

Hnh 2. Mt phiu tr kt qu xt nghim.

Hnh 1. Mt phiu lu tr kt qu siu m.

2.2. xut cu trc c s d liu v cc ph

thuc hm cn thit
T vic kho st cc mu lu tr v tr kt
qu khm cha bnh ca mt s c s y t trn
thc t, nhm nghin cu xut nhng
mu lu tr thng tin cn thit m t c th

Hnh 3. S khm bnh v phng php iu tr ca

bc s c ghi trn .

V.D. Hi, N.. Thun / Tp ch Khoa hc HQGHN, Khoa hc T nhin v Cng ngh 25 (2009) 205-210

- Qun l thng tin bnh n: bao gm tt c

cc d liu v kt qu t vic thm khm ca
bnh nhn trong bnh vin to ra. y l phn
thng tin ln nht ca mi bnh nhn trong c
s d liu v ty thuc vo quy m v trang
thit b y t trong bnh vin. V c bn, hin
nay hu ht cc c s y t u c cc loi hnh
to d liu bnh n cho bnh nhn nh sau:
Siu m chn on hnh nh, chp ct lp
CT-Scanner, chp cng hng t MRI, chp X
quang s, xt nghim huyt hc, xt nghim
sinh ha, xt nghim vi sinh min dch, xt
nghim nc tiu, chn on chc nng.
Cc gi thit ph thuc hm xut: mi
bnh nhn c th vo vic nhiu ln, mi ln
vo c xc nh bi thi gian vo vin, mi
ln vo vin c th thc hin nhiu xt nghim
khc nhau
- Qun l thng tin v qu trnh iu tr: bao
gm cc thng tin lin quan ti qu trnh iu
tr ca bnh nhn nh loi hnh iu tr (ni
tr/ngoi tr), v tr nm vin (ging, phng,
khoa), thi gian nhp vin, thi gian ra vin,
phc iu tr, kt qu iu tr.
Cc gi thit ph thuc hm xut: mi
bnh nhn trong qu trnh iu tr ni tr c th
chuyn v tr nm vin nhiu ln nhng ti mt
thi im th ch c tn trn mt v tr nm vin.
Qun l thng tin nhn lc trong bnh vin:
Thng tin v nhn lc trong bnh vin bao
gm cc thng tin lin quan ti i ng y bc
s, k thut vin v ton b nhn vin trong
bnh vin. thun tin cho vic qun l v
cng vic trong bnh vin, thng nhn lc
trong bnh vin s phn ra lm 2 mng: bc s
v nhn vin ni chung.
- Qun l thng tin bc s bao gm cc
thng tin nh: M bc s, h v tn, gii tnh,
mt khu truy cp h thng, n v cng tc,
chc v, chuyn mn, qu qun, a ch, in

207

thoi, s hp ng lm vic, h s lng, ngy

bt u hp ng, ngy kt thc hp ng.
Cc gi thit ph thuc hm xut: mi
bc s ch c mt m duy nht, mi bc s c
th c nhiu n v cng tc khc nhau nhng
ti mi thi im th ch c mt.
- Qun l thng tin nhn vin gm cc
thng tin sau: M nhn vin, h v tn, gii
tnh, n v cng tc, nhim v, qu qun, a
ch, in thoi, h s lng, s hp ng lm
vic, ngy bt u hp ng, ngy kt thc hp
ng.
Cc gi thit ph thuc hm xut: mi
nhn vin ch c mt m duy nht, mt n v
c nhiu nhn vin nhng mt nhn vin ch
lm ti mt n v trong mi thi im.
Qun l thng tin thuc trong bnh vin:
- Cc thng tin cn qun l gm: M thuc,
tn thuc, chng loi, n v tnh, loi hm
lng, s lng cn trong kho, m nh cung
cp, tn nh cung cp, in thoi lin h, a ch
nh cung cp, gi nhp, gi bn, m n hng,
ngy giao hng, s lng nhp, gi tr n
hng, m nhn vin nhn.
Cc gi thit ph thuc hm xut: mi
loi thuc s c mt m duy nht nhng c th
c cung cp t nhiu nh cung cp khc
nhau, mi nh cung cp s c mt m ring v
c th cung cp nhiu loi thuc khc nhau, mi
n hng ch thc hin vi mt nh sn xut v
ch c mt m tng ng, mi n hng ch do
mt nhn vin nhn v mt nhn vin c th
nhn hng nhiu ln, mi loi thuc ti cc thi
im khc nhau c th c gi khc nhau.
Qun l thng tin ti chnh trong bnh vin:
Cc thng tin cn qun l v ti chnh trong
bnh vin bao gm cc thng tin lin quan ti
hot ng thu chi ti chnh. Hot ng thu ch
yu t kinh ph khm cha bnh ca bnh nhn.

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V.D. Hi, N.. Thun / Tp ch Khoa hc HQGHN, Khoa hc T nhin v Cng ngh 25 (2009) 205-210

Hot ng chi gm chi tr lng cho cn b

nhn vin, chi mua sm trang thit b vt t.

truy xut gia chng. Sau y l cc kt qu thu

nhn c trn h qun tr MySQL Server2000:

- Qun l thng tin ti chnh khm cha

bnh t bnh nhn gm: M bnh nhn, loi
hnh khm, ngy khm, phng khm, m nhn
vin, n gi, thnh tin.
Cc gi thit ph thuc hm xut: mi
bnh nhn c th khm ti nhiu phng khm
v mt phng c th khm cho nhiu bnh
nhn; mi bnh nhn ch s dng mt loi hnh
khm trong mt ln khm.
- Qun l thng tin cho hot ng chi tr
lng gm cc thng tin: M nhn vin, m
thanh ton, ngy thanh ton, tin lng, tin
thng, tng tin.
Cc gi thit ph thuc hm xut: mi
m thanh ton ch ng vi mt m nhn vin.

Hnh 4. Bng thng tin c nhn ca bnh nhn.

- Qun l thng tin cho hot ng mua sm

trong bnh vin gm: M thit b, nh sn xut,
nh cung cp, n gi, s lng, n v tnh,
thnh tin, m nhn vin nhn, ngy mua.
Cc gi thit ph thuc hm xut: mi
thit b s c mt m duy nht; mi nh sn
xut c th sn xut nhiu loi thit b; mi
thit b s do mt nhn vin nhn v mt nhn
vin c th nhn nhiu thit b.

3. Kt qu v tho lun
T vic nghin cu v xy dng m hnh
cu trc c s d liu qun l thng tin trn,
nhm s dng h qun tr c s d liu MySQL
Server2000 thit k. y l chng trnh
phn mm qun l c s d liu tt hin nay,
p ng c cc yu cu k thut trong vic
qun l thng tin y t [5]. Nhm nghin cu
xy dng c ton b cc bng thng tin
tng ng vi cc kha chnh v kha ngoi lai
cho tng bng, ng thi thit lp mi quan h

Hnh 5. Cc bng thng tin v mi quan h trong

qun l nhn s.

V.D. Hi, N.. Thun / Tp ch Khoa hc HQGHN, Khoa hc T nhin v Cng ngh 25 (2009) 205-210

209

Hnh 6. Cc bng thng tin v mi quan h trong qun l dc.

Vic xy dng cc bng thng tin lu tr v

thit lp mi quan h da theo cc gi thit ph
thuc hm phn trn cho cc nhm thng tin
cn qun l gm: thng tin bnh nhn, thng tin
bnh n, thng tin nhn lc, thng tin dc,
thng tin ti chnh v kt ni tng th gia

chng c thc hin trn h qun tr

MySQL Server2000. Sn phm thit k cho kt
qu chy m phng rt chnh xc, p ng c
cc mc tiu thu nhn v qun l thng tin ti
tng trm lm vic ca ton h thng. Cc gi
thit ph thuc hm l hon ton hp l.

Hnh 7. Quan h tng th gia cc bng thng tin trong ton b C s d liu.

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V.D. Hi, N.. Thun / Tp ch Khoa hc HQGHN, Khoa hc T nhin v Cng ngh 25 (2009) 205-210

Nhm nghin cu xy dng mt m hnh

cu trc c s d liu tng qut v chung nht
cho vic qun l thng tin ti cc bnh vin
hin nay, tuy nhin do c th ca cc bnh
vin, cc c s y t nc ta l kh khc nhau
v quy m v chc nng nn ty theo c im
ca tng bnh vin c th ng dng s c
nhng iu chnh cho ph hp.
Hn na, ty theo tng ng dng c th ti
cc bnh vin m phn gi thit v ph thuc
hm, quan h gia cc bng thng tin cng s
c iu chnh p ng cc yu cu thc t.
Tuy nhin, vi m hnh cu trc c s d liu
m nhm nghin cu, xy dng s l tin
chnh pht trin ng dng vo thc t.
4. Kt lun
Kt qu nghin cu trn a ra mt m
hnh cu trc c s d liu dng trong vic thu
nhn, qun l v chia s thng tin trong bnh
vin mt cch hon ton t ng vi vic ng
dng cng ngh thng tin v truyn thng. Vi
m hnh cu trc c s d liu ny, vic lu tr
v x l thng tin y t s tr nn d dng, thun
tin v hiu qu hn rt nhiu so vi phng
php th cng truyn thng hin ang c s
dng hin nay, c bit trong vn lu tr,
chia s v tm kim thng tin khi s lng bnh

n l rt ln. y s l m hnh ph hp vi
iu kin hin ti ca Vit nam trong vic s
ha bnh vin, tin ti m hnh bnh vin in
t ang tng bc c hnh thnh ti nc ta
[1,2].
Ti liu tham kho
[1] Nguyn Hong Phng, Nguyn Mai Anh,
Hong Hi Anh, H s bnh n in t, Trung
tm tin hc, B Y t, Nh xut bn Y hc, H
ni 2008.
[2] Nguyn c Thun, V Duy Hi, Trn Anh V,
H thng thng tin y t, Nh xut bn Bch khoa
H Ni, H Ni 2006.
[3] Nguyn c Thun, V Duy Hi, Nguyn Thi
H, Nguyn Vit Dng, Nguyn S Dng, inh
Th Nhung, Nguyn Thu Vn, Phm Vn Thanh.
Xy dng chng trnh qun l phng khm siu
m BK-USManager. K yu Hi tho khoa hc
ng dng cng ngh thng tin trong qun l
Bnh vin VN-HISMANAG08, Trung tm tin
hc - B Y t. H Ni 1-2008.
[4] V Duy Hi, Nguyn c Thun. Thu nhn v
qun l d liu xt nghim trn nn Webserver
ng dng trong bnh vin in t, Tp ch Khoa
hc v Cng ngh cc trng H k thut, 28,
s 68 (2008).
[5] Harshawardhan Bal, Johnny Hujol, Java for
Bioinformatics and Biomedical Applications.
Springer, USA 2007.

Designing a database structure system for management

hospital information
Vu Duy Hai, Nguyen Duc Thuan, Hoang Quang Huy
Department of Electronics Technology and Biomedical Engineering
Hanoi University of Technology, 1 Dai Co Viet, Hanoi, Vietnam

From the results of this study about retriving, processing and archiving information conditions in
several hospitals and clinics, a general database structure system for management hospitals in Viet
Nam has been proposed based on information and communication technologies. In this structure, now
it covers the whole of all informaiton that is needed to manage in our hospitals. We also build some
standard electronic health records collecting: Patient information, medical information, laboratory
data, diagnostic and therapeutic result, financial, pharmacy, medical equipment and general activities
in hospital managementfrom many conventional paper-based records in some big hospitals.
Therefore, the database located in system server will be comformanle to hospitals at all level by using
MySQL Server2000.
Keywords: e-Hospital, EHR, PACS, HIS.

V.D. Hi, N.. Thun / Tp ch Khoa hc HQGHN, Khoa hc T nhin v Cng ngh 25 (2009) 205-210