MC LC

PHN I: NH GI HIN TRNG.. 2 1. Hin trng ng dng cng ngh thng tin ti Bnh vin Lao v Bnh phi Trung ng. 2 1.1 Trang thit b phn cng: 2 1.2 H thng mng LAN.. 3 1.3 H thng phn mm Qun l bnh vin. 4 1.4 Bo mt thng tin v an ton d liu. 4 2. Kt lun. 4 3. Kin ngh 4 PHN II: T VN GII PHP NG DNG CNTT.. 4 1. Thit b phn cng. 4 2. H thng mng LAN mi. 4 3. Nng cp hoc thay mi h thng phn mm qun l trong Bnh vin: 4 4. Thit lp h thng bo mt v an ton thng tin phng chng Virus: 4 Da trn c s nhu cu thc t ca Bnh vin chng ti xin xut gii php theo cc tiu ch sau: 4 PHN III: K HOCH TRIN KHAI. 4 1. Tin trin khai 4 2. T chc thc hin. 4 PHN IV: D TR KINH PH THC HIN.. 4 PHN V: SN PHM v HIU QU U T.. 4 1. Sn phm ca d n. 4 2. Hiu qu u t. 4 PH LC.. 4

PHN I: NH GI HIN TRNG 1. Hin trng ng dng cng ngh thng tin ti Bnh vin Lao v Bnh phi Trung ng H thng cng ngh thng tin ca bnh vin bao gm 01 h thng mng LAN, 02 server, 50 n 60 my trm. H thng mng LAN l mng ni b khng kt ni Internet phc v ch yu cho h thng phn mm Qun l bnh vin H thng phn mm Qun l bnh vin ng nht bao gm cc phn h qun l chc nng sau: Phn h Qun l vin ph ni tr. Phn h Qun l dc vt t. Phn h Qun l KCB ni tr. Phn h Qun l hot ng CLS. Phn h Bo co tng hp Phn h Qun l vt t tiu hao. Phn h Qun l trang thit b y t

 Phn h Qun l KCB ngoi tr 1.1 Trang thit b phn cng: My tnh trm Hin nay bnh vin hin c khong 50 n 60 my tnh hot ng trong mng LAN. Cc my tnh ny c u t theo kinh ph ca tng nm nn cu hnh k thut ca cc my tnh cng tng dn. Cc phn mn ng dng ch yu trn cc my trm cho ngi s dng ch yu l cc phn mm thng dng nh: Windows 2000, Windows XP, Microsoft Office ( Word, Excel, PowerPoint ), LVTD, Vietkey. Ngoi cc phn mm thng dng cc my tnh trm cn s dng phn mm Qun l Bnh vin, ti cc khoa tng ng vi tng cng vic s s dng cc modul qun l tng ng trong h thng phn mm qun l Bnh vin phc v cc cng vic hng ngy ca cc khoa phng. Cu hnh k thut ca cc my tnh trm ang s dng nh sau: + Loi 1: Pentium III 667MHz , Ram SDRam 256MB , 20GB HDD, NIC 10/100 Mbps (10 Chic) + Loi 2: PentiumIV 1.8GHz , Ram 512 MB, 40GB HDD, NIC 10/100 Mbps (28 chic) + Loi 3: Pentium IV 2.8 Ghz, Ram 512 MB, 80GB, NIC 10/100 Mbps (10 chic) My ch: Bnh vin hin c 02 my ch, 01 my ch c trang b t nm 2004, sang nm 2009 mi tip tc trang b thm 01 my ch mi. Cc my ch trong h thng mng LAN c ci t h iu hnh Windows Server 2003, h qun tr d liu Microsoft SQL 2000 v h thng phn mm qun l Bnh vin. Cc my ch trong h thng mng ng vai tr iu hnh h thng mng, qun l ngi dng, qun l c s d liu, chia s thng tin ca ton bnh vin c lin quan n h thng phn mm Qun l bnh vin. Cu hnh k thut ca cc my ch hin ti nh sau: + My ch 1: Xeon 3.0GHx, Ram 1GB , 2 x 72GB HDD, NIC 10/100 Mbps + My ch 2: Quad Core 2.66GHz, Ram 2GB, 3x72 GB HDD, NIC 10/100/1000 nh gi: Nhn chung h thng my tnh trm, my ch u t t nm 2000 cho n nay nn c mt s my tnh cu hnh k thut thp nn hiu qu s dng khng cao nh thng xuyn xy ra hng hc, hot ng chm nn cng gy nh hng n nng xut lm vic ca ngi s dng. i vi my ch cn nng cp b nh RAM, HDD m bo tc truy cp nhanh, kh nng lu tr d liu ln an ton trong vn hnh. Ngoi ra nu c iu kin nn nng cp mi my ch ln 2 CPU tng mc s l thng tin truy cp mng t hiu qa cao. 1.2 H thng mng LAN n nm 2001, Bnh vin bt u trang b h thng mng LAN trong bnh vin vi mt my ch (SERVER) ni cc my tnh c nhn ti cc khoa, phng ban vi

nhau. Ban u h thng mng Lan ch gm 02 Switch kt ni vi khong 15 n 20 my tnh vi nhau bng cp mng CAT 5 nhm chia s ti nguyn trn mng tit kim chi ph u t ( dng chung my in, CD Rom, Share File v.v ). c s quan tm ca Lnh o Bnh vin, n nay h thng mng LAN ca bnh vin m rng rt nhiu n cc khoa phng ban phc v nh cu hot ng chuyn mn thng xuyn trong ton bnh vin cc thit b kt ni gm 6 Switch 24 port kt ni vi 50 my tnh bng h thng cp mng CAT 5. H thng mng LAN hin ti

nh gi: Qua 8 nm s dng h thng mng LAN cng em li nhng hiu qu thit thc cho bnh vin nh nng cao nng lc qun l, ng dng cng ngh thng tin trong cc hot ng chuyn mn, nng cao trnh ca nhn vin v hot ng khm cha bnh ca bnh vin. Sau thi gian di s dng h thng mng cng bc l nh khuyt im nh kt ni chm, khng kt ni c, virus ph hoi, hot ng cha n nh. Nguyn nhn l do: H tng cp mng CAT5 trin khai t lu theo tng giai on, cht lng suy gim theo thi gian, b nh hng bi cc iu kin ngoi cnh. Vic m rng h thng l chp ghp theo yu cu, khi cn l ko cp, khng theo quy hoch, do gy kh khn trong vic qun l. Cu trc, kin trc mng pht trin theo t pht theo nhu cu m rng ti cc khoa phng . Cc thit b mng Switch kt ni a phn l thit b c, khng ng b ca nhiu hng khc nhau nh Plannet, Micronet, Surecom v,v. Nhiu my trm ci h iu hnh khng hp l, cu hnh thp, a s cc my ci h iu hnh windows server 2000, mt s my ci window XP. V vy, h thng my tnh hot ng cha n nh, my hay li do s dng windows server c.

1.3 H thng phn mm Qun l bnh vin Sau khi a h thng mng LAN vo hot ng, bnh vin bt u a cc phn mm Qun l bnh vin vo s dng vi mc ch gip cc b phn chuyn mn qun l tt hn v gip lnh o bnh vin nm bt c cc thng tin cn thit tc th phc v cho hot ng iu hnh trong bnh vin. Tuy nhin cc phn mm Qun l Bnh vin cng c trin khai khng tng th theo tng giai on nh sau: + Nm 2000 xy dng Phn h qun l vin ph ni tr. + Nm 2001 xy dng Phn h qun l dc vt t. + Nm 2002 xy dng Phn h qun l bnh nhn ni tr (hot ng chuyn mn), Qun l hot ng cn lm sng, Qun l bo co tng hp + Nm 2004 xy dng Phn h qun l vt t tiu hao, Qun l thit b y t + Nm 2006 xy dng Phn h qun l KCB ngoi tr Qua nhiu nm u t n nay cc phn h sau nhiu ln nng cp cho ph hp vi s pht trin ca Bnh vin tr thnh mt h thng phn mm ng b hot ng trn h thng mng LAN ti tng cc Khoa phng. Thng tin c trao i gia cc phn h, khp kn quy trnh khm cha bnh cho bnh nhn t khi n khm n lc ra

vin. Vic ng dng h thng phn mm Qun l Bnh vin gip cho Lnh o bnh vin v cc khoa phng trong bnh vin hot ng hiu qu hn trong cng tc chuyn mn nh khm cha bnh, theo di bnh nhn, vt t, thuc, ti chnh .v. Cng ngh pht trin: Cc phn h t lc xy dng n lc hp nht thnh mt h thng phn mm c pht trin trn cng ngh Visual Basic 6.0, Crystal report v c s d liu SQL ca hng CNTT ni ting l Microsoft. nh gi a) u im: + Sau mt thi gian ng dng h thng phn mm Qun l bnh vin trong hot ng ca bnh vin cng em li nhng hiu qu nht nh + m bo thng tin c cp nht tc thi gip c c bo co theo thi gian thc, chnh xc, tin cy. + Khng phi nng cp h thng khi Bnh vin pht trin thm cc khoa. + C c ch cp account v mt khu cho ngi dng, xc nhn quyn truy nhp m bo an ton cho ton b h thng + Bo mt nhiu mc: Mc h iu hnh, mc database, mc ng dng (tc l do PM ng dng qun l). mc ng dng: phn quyn cp nht, xem bo co n tng chc nng. + H thng sao lu/phc hi d liu (Backup/Restore): m bo an ton d liu, gip phc hi nhanh chng d liu khi h thng gp s c . + H thng s dng h c s d liu Microsoft SQL Server 2000, l h qun tr CSDL c nhiu tnh nng u vit, nh: c tnh bo mt cao, h thng backup mm do, d qun tr. + H thng gn nh, d ci t. Sau nhiu ln nng cp, h thng hin p ng tt v yu cu nghip v, gip gim gnh nng cho cc cng vic lm bo co ca cc b phn lin + Tit kim chi ph, tn thu cho bnh vin b) Nhc im: + Cha h tr ting Vit theo chun Unicode cho CSDL v c ng dng. + Cng ngh so vi thi im hin ti b lc hu, tc x l chm + Vn cn xut hin li chng trnh trong khi s dng 1.4 Bo mt thng tin v an ton d liu + Hin ti h thng bo mt thng tin v an ton d liu ca Bnh vin Lao & Bnh phi Trung ng vn cn mc s khai. + Cha c s bo v thng tin ng tin cy v chuyn nghip bng c phn cng v phn mm. + H thng mng LAN thng xuyn b tn cng v ph hoi nu khng c s bo v tt bng cc gii php chuyn nghip (tng la c tng vt l v tng ng dng) + H thng phng chng virus cha ng b v hiu qu, mi ch ci phn mm virus tng my n l ( Phn mm ch yu l phn mm tri ni, khng c bn

quyn) cha to nn mt h thng phng chng virus cho ton mng. Do tnh trng virus ly lan vn din ra cc my v trn h thng mng l rt ln. + Do Bnh vin cn p dng gii php phng chng virus ng b t my ch ti cc my trm nng cao ti a kh nng phng chng ph hoi ca virus. 2. Kt lun Nhn vo thc trng ng dng cng ngh thng tin trong Bnh vin Lao v Bnh phi Trung ng trong nhng nm qua nhn thy Bnh vin l mt trong cc bnh vin trong ngnh y t i tin phong trong vic ng dng CNTT trong hot ng qun l v iu hnh Bnh vin (Theo bo co V iu tr B Y t nm 2005 ch c 5% trong khong 1.000 bnh vin cng lp trn ton quc c phn mm ng dng tin hc qun l Bnh vin ). Qua nhn thy hot ng ng dng cng ngh thng tin trong bnh vin l khng th thiu c cc bc s v cc b phn chuyn mn hng ngy u s dng chng trnh qun l Bnh vin nh nhp cc thng tin khm cha bnh, qun l thuc, vt t tiu hao, qun l ti chnh .v.v nn h thng cng ngh thng tin l ht sc quan trng. Vi h thng mng LAN c xy dng t nm 2000 n nay ch yu l trang b theo tng giai on, thit b lac hu cng vi s pht trin ca phn mm qun l Bnh vin bn cnh l khi lng bnh nhn khm cha bnh ngy cng nhiu ( khi a chng trnh Qun l bnh nhn phng khm vo hot ng th c n hng trm bnh nhn khm mi ngy s lng d liu s ngy cng ln), s lng cc my tnh ti cc Khoa kt ni vo mng ngy mt gia tng s gy hin tng qu ti trn ng truyn mng LAN gy ra tc ngn mng ti cc thi im gy ra s sai lch s liu hot ng s km hiu qu hn trn h thng mng c v lc hu. Nhn chung vi h thng mng LAN ca bnh vin hin nay l rt kh cho m rng ti cc khoa phng, tc ng truyn thp khng m bo, s sai lch v s liu c th s xy ra. 3. Kin ngh Cng ty tin hc H Thng vi kinh nghim hot ng trong lnh vc cng ngh thng tin nht l trong lnh vc phn mm Qun l cho ngnh y t v phn mm Qun l Bnh vin v ang l i tc ca Bnh vin Lao v Bnh phi Trung ng trong nhiu nm qua. Cng ty H Thng xin a ra kin ngh nh sau: + Nng cp hoc thay mi cc my tnh trm c cu hnh thp. + Nng cp my ch m bo kh nng s l thng tin nhanh hn, m rng kh nng lu tr, nng cao an ton d liu trong ton b h thng. + ngh nng cp, thay th h thng mng LAN hin ti t h thng ng truyn 10/100 Mps ln 10/100/1000 Mps, trong cc ng link gia cc Switch vi nhau l cp quang. H thng mi s tng tc ng truyn trn mng gp 10 ln h thng c, s khng gy ra tc ngn trn mng, m rng d rng, gim c sai lch v s liu. + Nng cp card mng my tnh ti cc khoa t 10/100 Mbps ln 10/100/1000 Mbps

+ Tng thm trm mng d phng ti cc khoa sau ny c th m rng m khng nh hng n kin trc mng. + t Switch ti phng hnh chnh mi khoa tin vic x l s c. Ni t Switch c in d phng sau khi mt in c th chuyn ngun in sang my n m bo s hot ng lin tc ca h thng mng. + Thit lp h thng Security, h thng phng dit Virus, Spam. + Thng xuyn bo tr h thng mng LAN v h thng phn mm nng cao tui th ca cc thit b, p ng kp thi cc s c xy ra.

PHN II: T VN GII PHP NG DNG CNTT 1. Thit b phn cng Nng cp cc my tnh cu hnh thp ln cu hnh cao m bo tc x l, truy cp mng c nhanh chng, nng cao hiu qu hot ng ca nhn vin, khoa phng trong bnh vin. Cc my tnh nn ci t cc chng trnh phng chng virus, spam c bn quyn. Nng cp my ch 1 v my ch 2 m bo nng cao tc x l thng tin, qun tr h thng mng LAN, nng cao kh nng lu tr d liu, an ton bo mt thng tin. Thit lp h thng my ch theo m hnh active standby m bo h thng d liu c sao lu lin tc an ton tnh sn sng cao. 2. H thng mng LAN mi. H thng mng LAN xy dng m bo cc tiu ch sau: Ph hp vi yu cu ng dng CNTT hin c ca bnh vin nht l s hot ng ca h thng phn mm Qun l bnh vin. H thng c thit k d dng phn tch, chun on li khi c s c xy ra, h thng m bo khi xy ra s c ti mt im th ch nh hng ti im khng nh hng n hot ng ca ton mng. m bo h thng t tc ng truyn gia cc my trm, my ch v Switch vi nhau ln ti tc 10/100/1000 Mbps gp 10 ln tc ca h thng hin ti. m bo khng xy ra tnh trng tc nghn, gim thiu cc li kt ni, an ton d phng cao. H thng m bo cho pht trin cc ng dng trn h thng mang LAN trong vng 5 n 7 nm. H thng mng LAN m bo c kh nng m rng phc v cho cc ng dng cng nh s pht trin m rng, nng cp cc thit b phn cng trong tng lai. H thng mang LAN m bo c s lin thng vi cc h thng bn ngoi nh Internet, Intranet hoc cc h thng khc khi bnh vin c nhu cu kt ni. m bo d rng, thun tin, an ton cho iu hnh, qun tr ton h thng .

S XUT H THNG MNG LAN MI

CC TRM MNG TI CC PHNG BAN TRONG BNH VIN

STT A. Cc Khoa Lm Sng 1 2 3 4 5 6

Tn Khoa, Phng

Trm mng hin ti

Trm mng thm mi

Tng s sau khi thm mi

Khoa Khm Bnh Khoa Lao Phi Mi ( ni 2) Khoa Lao Ngoi Phi Khoa Lao Phi Ti Tr (ni 1) Khoa Hi Sc Cp Cu Khao Bnh Phi Nhim Trng Khoa Bnh Phi Tc Nghn Khoa Nhi Khoa Phu Thut Chnh Hnh Xng

8 1 2 2 1 1

8 1 1 1 1 1

16 2 3 3 2 2

8 9

1 1

1 1

2 2

Khp 10 11 12 Khoa Ung Bu Khoa Bnh Mng Phi Khoa Phu Thut Gy M Hi Sc 1 1 1 1 1 1 2 2 2

B. Cc Khoa Cn Lm Sng 13 14 15 16 17 18 Khoa Dc Khoa Ha Sinh Khoa Vi Sinh Khoa Ni Soi Khoa Huyt Hc Khoa Chn on Hnh nh Khoa Thm D Chc Nng Khoa Gii Phu Bnh Khoa Chng Nhim Khun 4 ( 1 Nh thuc ) 1 1 1 1 3 4 1 1 1 2 3 8 2 2 2 3 6

19

20 21

1 1

1 1

2 2

C. Cc Phng Chc Nng 22 Phng Hnh Chnh Qun Tr Phng T Chc Cn B Phng Ti Chnh K Ton Phng K Hoch Tng Hp Phng Ch o Tuyn Phng Vt T Thit B Y T Phng Qun L Nghin Cu Khoa Hc o To Phng iu Dng Ban Gim c T CNTT ( Phng TCQT) T Thu Vin Ph ( Phng TCKT) 0 4 ( 1TrP, 1Vn th, 2Thng k) 2 3 4

23 24

0 1

2 4

25

26 27 28

0 4 0

2 2 2

2 6 2

29 30 31

0 4 3

2 0 2

2 4 5

32

10

33 34

Nh thuc Bnh vin CMU ( T2 Khoa Khm Bnh) TNG

1 1

1 1

2 2

35

58

58

116

Thuyt minh h thng mng mi H thng mng LAN mi c thit k trn c s tnh n kh nng m rng v sau ny m bo s c 116 trm mng tng 58 trm so vi h thng c. H mng s dng 8 Switch tc cao 10/100/1000 Mbps .Theo s h thng mng Lan mi th c tt c 8 Switch c chia u cho cc phng Khoa trong bnh vin. Cc ng Cp Quang: Switch T CNTT (24 Cng) Switch Thanh ton Vin Ph (24 Cng) Switch T CNTT (24 Cng) Switch Ni Soi (24 Cng) Switch T CNTT (24 Cng) Switch Lao Ti Tr (24 Cng) Cc ng Cp CAT6 Switch T CNTT (24 Cng) Switch Vt t (8 Cng) Switch T CNTT (24 Cng) Switch K ton Ti Chnh (24 Cng) Switch Thanh Ton Vin Ph (24 Cng) Switch Khoa Khm Bnh (24 Cng) Switch Lao Ti tr (24 Cng) Switch Phu Thut Gy M (16 Cng) T Cc Switch ni ti cc my tnh bng Cp Xon CAT6 1. Switch T CNTT (24 Cng) + 5 cng kt ni Switch K Ton Ti Chnh , Vt t, T thu vin ph , Lao ti tr, Ni soi, T CNTT (5 cng ), Lao Phi mi (1 cng) , Ph gim c (1 cng) + Thm cng mi v d phng: 6 cng + Do l Switch trung tm nn cn kh nng d phng cao v x l rt cao do dng Switch 24 cng. 2. Switch Thanh Ton Vin Ph (24 Cng) + Cng kt ni Switch Khoa khm Bnh v T CNTT, Thanh Ton vin ph (8 cng) , K hoch tng hp (2 cng) + Thm cng mi v d phng: 7 (Thanh Ton vin ph - 5 cng) , K hoch tng hp - 2 cng) 3. Switch Ni Soi (24 Cng) + 1 Cng kt ni Switch T CNTT, Ni soi (3 cng tng 1, 2 cng tng 2), Ha Sinh (1 cng tng 1), Khoa Dc (1 cng tng 1, 3 cng tng 2), Siu m (tng 1, 1 cng)

+ Thm cng mi v d phng: 9 cng (Ni soi -2 cng tng 1, 2 cng tng 2; Ha Sinh - 1 cng tng 1, Khoa Dc - 1 cng tng 1, 2 cng tng 2;, Siu m - tng 1, 1 cng) 4. Switch Lao Ti Tr (24 Cng) + Cng kt ni Switch Phu thut gy m v T CNTT, Lao ti tr (2 cng), Lao ngoi phi (2 cng), Khoa Nhi (1 cng), D chc nng (1 cng), Gii phu (1 cng), Huyt hc (1 cng), Chn on hnh nh (1 cng), Vi sinh (1 cng), Ung bu (1 cng) + Thm cng mi v d phng: 8 cng (Lao ti tr - 1 cng, Lao ngoi phi - 1 cng, Khoa Nhi - 1 cng, D chc nng - 1 cng, Gii phu - 1 cng, Huyt hc - 1 cng, Chn on hnh nh - 1 cng, Vi sinh - 1 cng, Ung bu - 1 cng)_ 5. Switch Khoa Khm Bnh (24 Cng) + 1 Cng kt ni Switch T thu Vin Ph, Khoa khm bnh (4 cng tng 1, 5 cng tng 2), Quy thuc (1 cng), Chp X-Quang (1 cng) + Thm cng mi v d phng: 9 cng (Khoa khm bnh - 3 cng tng 1, 4 cng tng 2; Quy thuc - 1 cng, Chp X-Quang - 1 cng) 6. Switch Phu Thut Gy M (16 Cng) + 1 Cng kt ni Switch Lao ti tr , Phu thut gy m (1 cng), Khoa ngoi (1 cng), Bnh mng Phi (1 cng), Chng nhim khun (1 cng) + Thm cng mi v d phng: 5 cng (Phu thut gy m - 1 cng, Khoa ngoi 2 cng, Bnh mng Phi - 1 cng, Chng nhim khun - 1 cng) 7. Switch Vt t (8 Cng) + 1 Cng kt ni Switch T CNTT, Vt t: 4 cng + Thm cng mi v d phng: 3 cng 8. Switch K ton Ti Chnh (24 Cng) + 1 Cng kt ni Switch T CNTT, Tng 1 (1 cng G, 2 cng ph G), Tng 2 (1 cng k ton ti chnh ) + Thm cng mi v d phng: 15 (Phng Hnh chnh qun tr - 4 cng, Phng t chc cn b - 2 cng, Phng ti chnh k ton - 3 cng, Phng iu dng - 2 cng, Phng Qun l nghin cu khoa hc o to - 2 cng, Ch o tuyn - 2 cng) S logic kt ni rt gn mng LAN Bnh vin :

Cng ngh mng p dng H thng mng LAN c xy dng trn m hnh 3 lp (Lp Core, Lp Distribution, lp Access) v cng ngh xy dng m bo tun theo m hnh mng OSI. S dng cng ngh Ethernet. Hin nay, Ethernet l cng ngh c s dng ph bin trong thit k v trin khai h thng mng cc b ( h thng mng LAN ). Ethernet rt ph hp cho xy dng h thng mng cc b. H thng chun theo cng ngh Ethernet bao gm cc chun nh 10BaseT, 100BaseTX, 1000 Base TX hay

1000BaseSX v.v. cho php p ng nhu cu thit k h thng mng vi yu cu bng thng khc nhau tng phn on. Giao thc TCP/IP c s dng kt ni cc my tnh trong mng. y l giao thc ph hp vi h thng mng t qui m nh ti qui m ln v rt ln, t ni b cho ti din rng, Intranet cng nh Internet. Mt khc y cng l giao thc c h tr bi hu ht cc thit b phn cng cng nh phn mm h thng Yu cu v m hnh mng Kin trc hnh sao l kin trc mng cc b ph bin nht hin nay. Kin trc ny cho ph hp cho tc truyn d liu trong mng hin nay ln ti 1000 Mbps (1 Gbps) v sp ti s ln 10 Gbps. V vy kin trc ny s c la chn xy dng h thng mng LAN cho Bnh vin Lao v Bnh phi Trung ng. Kin trc hnh sao (Star) cho php thc hin cu trc mng theo cc lp nhm n gin ho vic kt ni lin mng. Vi mi lp s tp trung vo mt s chc nng c th nn s c th la chn c cc c im ph hp cho mi lp. Trong cc mng ln, khi xy ra s c, c th s nh hng n mt s lng ln thit b ca mng. S ci thin trong vic phn tch li s c th thc hin d dng hn khi chia mng thnh cc thnh phn lgic nh. Ngi qun tr mng nh s nhanh chng xc nh c cc nt (node) trong mng ; iu ny gip xc nh nt c li mt cch d dng hn. Kin trc hnh sao (Star) l m hnh phi hp cho vic kt ni cc my tnh hnh thnh mng LAN cc b. Cn c vo mi trng thc t, h thng mng my tnh Bnh vin Lao v Bnh phi Trung ng s c cu trc nh sau : + Kt ni t Switch ti cc trm s dng cng ngh kt ni Fast Ethernet (10/100/1000Mbps) v s dng cp CAT 6 nhm m bo truyn dn tc cao cng nh tn dng c nng lc ca nhng trm lm vic, thit b u cui ny v mang tnh cht k tha cho cc thit b my tnh c hot ng trong mng. + m bo tc truyn cng nh kh nng qun tr tp trung, h thng Server s c t ti T CNTT c cn b tin hc qun l v c kt ni trc tip ti Switch trung tm bng ng cp quang tc 1000Mbps. Cc thit b la chn Cu hnh B chuyn mch (Switch) trung tm v cc Switch nhnh Switch trung tm (Lp Core Distribution): Switch trung tm c t ti phng my ch (T CNTT) bao gm 4 cng Quang tc truyn dn 1000 Mbps(1GB) v 24 cng RJ 45 tc truyn dn 10/100/1000 Mbps. Switch ny ng vai tr kt ni vi my ch vi cc Switch khc trong h thng bng cp quang v cc my trm qua 24 cng RJ 45 ti khu vc t tc phn lung chuyn mch trong h thng 10/100/1000 Mbps Switch trung tm l swicth s dng cng ngh Multilayer-Switch vi cng ngh switching lp 3 cho php truyn dn tc chuyn mch ln n 48 Gbp v cc gi tin vi dung lng ln m khng gy ra tc nghn trn ng truyn. Ngoi ra Switch trung tm cn Nhng c tnh mnh m ca QoS v an ninh mng khin cho c kh

nng iu khin hiu qu d liu cho nh cung cp dch v ISP vi cc dch v cht lng nh: VoIP, to dng video, ng dng multicast, VLAN, MAC lock Network Security v iu khin cu hnh thng qua giao din Web rt thun tin cho ngi s dng. Ngoi ra Switch trung tm m bo cho php kt ni nng cp, m rng cc tnh nng FireWall, Anti-virus khi c yu cu ng dng Switch nhnh ( Lp Access ): Trong h thng mng s dng cc 6 Switch nhnh, cc Switch ny u l Switch 24 cng 10/100/1000 Mbps v h tr 02 cng Quang. Trong 6 Switch ny s c 02 Swicth c kt ni vi Switch trung tm bng Cp quang, ngoi ra kt ni vi cc Switch khc v cc my trm bng cp CAT 6 t tc truyn d liu 10/100/1000 Mbps Cp mng Cp mng CAT 6: Hin nay trn th gii cp mng CAT 6 dn thay th cp mng CAT 5, cp mng CAT 6 c cho l c nhiu c im u vit hn cp CAT 5 suy hao, nhiu tn hiu t hn. Tc truyn dn trn cp CAT 5 t tc truyn dn 10/100/1000Mps trong khi cp CAT 5 ch t tc ti a l 10/100 Mbps. V vy cp mng CAT 6 hon ton ph hp vi cc n v c h thng mng LAN ln v tn sut trao i d liu lin tc tc th. Cp quang c im ca Cp quang l dng mt Dit pht x nh sng hoc Laser truyn d liu xung nh sng vo cp quang. Chnh v c im ca Cp quang l truyn bng sng nh sng khng truyn bng tn hiu in nn tc truyn nhanh hn, khng b nhiu v hn ch kh nng nghe trm, bng thng t ti 2Gigabit/s (cp ng trc bng thng t 155 n 300 Megabit/s ). Chnh v vy cp quang c th truyn ti tn hiu i xa hng ngn km m khng cn phi quan tm n suy hao trn ng truyn nh i vi cp ng. Mt c im ni tri ca cp quang l do truyn tn hiu bng sng nh sng khng bng tn hiu in nn hn ch ti a hin tng b chp chy trong qu trnh s dng. Loi cp Quang c s dng trong mi trng ngoi tri theo hnh thc chn trc tip hoc lun ng. nh vo tnh nng ca v cp HDPE ( High Density Poly Ethylene) c sn xut theo cng ngh chng thm thu, chng m, chu nhit cao, chu lc tt, v b mt nhn bng gip cho vic thi cng t try xt khi ko cp. Lp gip kim loi mt ln na bo v si quang khi va p t bn ngoi trong qu trnh thi cng cng nh trong thi gian hot ng, ng thi kt hp vi v HDPE c tc dng chng li cn trng cn ph cp nh chut, sc, kin, mt, mi Chnh v cc c im u vit ca cp quang nn hu ht c s dng lm cc trc cp xng sng (Backbone cable) v cc ng truyn di yu cu cht lng 3. Nng cp hoc thay mi h thng phn mm qun l trong Bnh vin:

Cn c theo thc trng h thng phn mm Qun l Bnh vin hin nay ang s dng ti bnh vin cng ty H Thng xin c xut 2 phng n nh sau: Phng n 1: Gi nguyn h thng hin ti, b sung thm phn chuyn i d liu t NonUnicode sang Unicode cho cc phn h hin c. Nng cp, b xung cc chc nng cn thiu cho cc Modul hin ang s dng. Chi tit b xung cc chc nng xem ti Ph lc 01. u im: khng lm thay i h thng n nh hin c, vn c th a cng ngh mi ghp vo h thng. Tit kim thi gian v kinh ph. Nhc im: Ton b h thng khng ng nht v mt cng ngh (h thng d liu vn ng nht

Phng n 2: Xy dng li ton b h thng phn mm bng cng ngh mi trn nn .NET. u im: H thng ng nht v mt cng ngh, khi p dng cng ngh. NET s nng ti u ha tc s l d liu, tng tc ng truyn, giao in p hn, d rng nng cp m rng v sau. Nhc im: Kinh ph u t ln B sung thm cc module phn mm sau: Phn h h tr nghin cu khoa hc Phn h qun l vt t, thit b phng hnh chnh qun tr. Phn h qun l mu v cc ch phm mu Phn h qun l xt nghim Phn h chun on hnh nh
4. Thit lp h thng bo mt v an ton thng tin phng chng Virus: Da trn c th ng dng CNTT ti bnh vin chng ti nhn thy cn phi trang b h thng bo mt v an ton thng tin phng chng Virus tng th, p ng c nhng yu cu sau:

V mt dch v H thng c kh nng p ng c hot ng ca h thng my ch cung cp mt s dch v c bn nh dch v Web, Email, FTP v cc ng dng, c s d liu mang tnh c th, phc v cng tc chuyn mn ca bnh vin c bit phi hon ton tng thch vi nhng phn mm hin c phc v cho cng tc khm cha bnh ti bnh vin. V mt bo mt H thng xy dng phi m bo v an ton h thng v an ninh d liu, c kh nng chng cc nguy c tim n t bn ngoi mng nh truy nhp tri php, tn cng lm h thng ngng tr hay nhng nguy c t bn trong ni b mng nh pht tn virus, n cp mt khu, sa i thng tin, ngn cm dch v, ngn cm vic s dng phn mm chuyn dng. V mt qun l H thng cho php qun l d dng v thun tin tt c cc kt ni, cc dch v . Vi hin trng bo mt v an ton thng tin ti Bnh vin Lao v Phi Trung ng, chng ti a ra gii php nh sau: H thng phng chng virus

 Ngy nay, cng vi s tn cng ca Virus cn c cc k thut ph hoi khc nh adware, spyware c gi chung l cc phn mm gy hi Malware. Do gii php phng chng cc phn mm gy hi khng ch l chng virus thun ty, m phi l mt gii php tng th phng chng malware. Chng ti xut xy dng theo m hnh client/server, theo m hnh qun l tp trung. Tiu ch chn la sn phm chng malware nh sau: + D s dng, d ci t. + Nhn dng virus v phn mm gy hi hiu qu. + Tiu dit Malware v c lp cc file b ly nhim hiu qu. + Thi gian phn ng trc virus. Trn c s , chng ti xut la chn s dng gii php tng th phng chng malware ca hng Kaspersky, mt trong nhng sn phm dit virus tt nht nm 2008.

Phng chng virus trn my ch: + Module ny c vai tr chn virus xm nhp vo my ch trong trng hp virus vt qua c gateway hoc qu trnh ly lan xy ra trong cng phn on mng (khng i qua Firewall). + Phn mm module chng virus ny c ci ln mt my ch ring (My qun tr, lu tr data base, mu Virus, update ) v t phn phi ln cc my ch khc trn mng. Cc thnh phn c phn phi ny (gi l cc net agent) s lin lc bo v my ch m n c ci ln theo nhng chnh sch ly t my ch ring v bo co cc hot ng ca mnh ln My ch ring theo nh k hoc khi c s kin mi xy ra. Vic qun tr my ch ring c th thc hin d dng t bt k mt trm lm vic no qua nhng phin lm vic t xa. T bn lm vic ca mnh, nh qun tr c th xem cc hot ng qut v dit virus trn cc my ch cn bo v, nhng thng tin v cp nht virus mi... do My ch ring gi ti qua e-mail, nhn tin, in ra my in hoc ghi vo log file. Phng chng virus trn my trm: + Module ny c ci di dng Client trn cc trm lm vic ca ngi s dng v hot ng trong sut i vi ngi s dng. Cc thao tc nh qut virus nh k, cp nht mu virus mi din ra hon ton theo chnh sch ca qun tr vin h thng. Ngi dng s khng phi thc hin cc thao tc trn. + Vic ci t cho tng trm lm vic c th do ngi s dng t lm hoc do qun tr vin phn phi t my ch, giao din ci t v cu hnh s l giao din Web, kt ni vo mt server qun tr tp trung, iu ny rt thun tin khi trin khai h thng trong mng LAN ln. + Nu ngi dng t g b chng trnh chng virus trn my tnh ca mnh th h thng s ghi li thay i ny v bo cho ngi qun tr c cch gii quyt thch hp. iu ny nhm gi vng s nht qun v ng b trong chnh sch chng virus trn mng.

H thng Firewall
C s v tiu ch xy dng gii php. Da trn c s nhu cu thc t ca Bnh vin chng ti xin xut gii php theo cc tiu ch sau: m bo tnh b mt (Confidentiality): Thng tin khng th b truy nhp tri php bi nhng ngi khng c thm quyn. m bo tnh ton vn (Availability): Thng tin lun sn sng p ng kp thi cho nhu cu cng vic. m bo tnh ton vn (Intergrity): Thng tin khng th b sa i, b lm sai lch. Ngn chn c hu ht cc th rc (Spam mail): Spam mail s c x l v ngn chn ngay t cng vo. p ng mi yu cu k thut v hiu qu u t a ra. p ng kh nng m rng mm do trong tng li. Sn phm tin cy, d vn hnh, qun l v nng cp. Gi thnh hp l v dch v h tr sau bn hng hon ho. Gii php ca chng ti a ra l mt gii php tng th v phn cng, ngn chn c hu ht cc cuc tn qua mng internet v intranet, chn Spam mail, lc Web, lc virus... c s d liu v cch tn cng, antivirus, Lc Web v spam mail c cp nht mt cch thng xuyn, lin tc. M hnh trin khai h thng Firewall. Xut pht t nhng yu cu trn, kt hp vi kinh nghim thit k v trin khai bo mt cho cc cng ty ln, chng ti ngh gii php bo mt, lc web, lc virus, chn th rc (spam) ca hng Astaro vi dng sn phm Firewall UTM Astaro Security Gateway 220 Applicance vi tiu ch thit k phn vng bo mt, ngn chn s xm nhp t bn ngoi, kim sot s truy cp t bn trong. H thng tng la c chia lm 03 phn vng chnh. + Vng DMZ: Vng ny cha tt c cc my ch c public ra ngoi internet, cc my ch ny cho php c truy cp t bn ngoi ( vng internet) cng nh cc truy cp t trong (vng Lan) thng qua firewall nh Web Server, Mail Server, FTP Server. Email trc khi i vo mail server s c lc xem c phi Spam hay khng sau mi c chuyn ti my ch Email Server.

+ Vng Server Farm: Vng ny bao gm cc h thng my ch quan trng nh Oracle Database, SQL Database, Application Server, File Server ..Vng ny thng dng cho mc ch ni b v khng Public ra ngoi internet. Vic truy cp vo h thng my ch vng ny c gii hn bi h thng Firewall v IPS tch hp trn Firewall.
+ Vng LAN: Bao gm tt c cc my tnh ngi dng trong mng. Mi my tnh khi ra khi h thng mng u phi qua s kim sot ca Firewall. Gii thiu v sn phm Astaro v kh nng bo mt. + Astaro l cng ty hng u trong vic cung cp gii php bo mt da trn nn Linux. Tr s chnh t ti Burlington, Manssachusetts, USA v chi nhnh c, Canada. Astaro Security Gateway l thit b bo mt mng hon chnh, hiu qu chi ph cao v c kh nng bo v mng trc cc nguy c bo mt khc nhau.

+ Astaro tch hp su tiu ch ca mt thit b bo mt bao gm Firewall ( tng la ), VPN gateway (Cng truy cp mng ring o), Intrusion Protection ( Bo v s thm nhp), Gateway Anti-virus (Chng virus ngay t cng vo/ra internet), Spam blocking (Kha th rc), URL filtering (lc a ch web). K thut bo v ca Astaro bao gm hn 6000 du hiu thm nhp khc nhau, hn 350.000 virus, hng ngn du hiu th rc v phn loi hn 20 triu website.

PHN III: K HOCH TRIN KHAI 1. Tin trin khai Tng thi gian thc hin l: 06 Tun. Trong thi gian thi cng mng LAN mi mi hot ng ca h thng thng tin trong ton bnh vin vn hot ng bnh thng da trn h thng mng LAN c. Khi h thng mng LAN mi thi cng xong, kim tra thng ng truyn bt u kt ni cc my tnh trong h thng mng c vo h thng mng mi. Vic kt ni my tnh t h thng mng c sang h thng mng mi s c thc hin vo ngy ngh (th 7 hoc Ch nht) m bo h thng CNTT hot ng bnh thng trong qu trnh thi cng mng LAN v chuyn i. STT 1 Ni dung cng vic Nng cp thit b phn cng ( My ch, my trm ) Thi cng, ci t h thng mng LAN Phng n 1: Nng cp, b xung thm chc nng cho phn mm hin ti Phng n 2: Xy dng h thng phn mm trn nn cng ngh. NET Trin khai h thng Security, Anti-virus Cc hng mc nu trn c th trin khai theo tng giai on hoc trin khai ng thi Thi gian thc hin 01 Tun

2 3

06 Tun 04 thng

09-12 thng

01 thng

2. T chc thc hin vic trin khai D n c hiu qu v thnh cng, Bnh vin s phi hnh thnh mt b phn qun l v theo di trong qu trnh trin khai. B phn ny trc tip gim st, gii quyt cc vn pht sinh trong qu trnh trin khai m c ng theo tin v t hiu qu cao. B phn ny c th l cc cn b CNTT hin c ca Bnh vin v mt s thnh vin cn thit khc.

PHN V: SN PHM v HIU QU U T 1. Sn phm ca d n Sn phm t c sau khi d n hon thnh v a vo s dng nh sau: C trang thit b phn cng my trm, my ch ph hp vi nhu cu s dng, nng cao hiu qu hot ng ca cc cn b cng nhn vin. Thit lp c mt h thng mng LAN mi vi vic ng dng cc thit b mng v cp mng tin tin tng tc ng truyn ln gp 10 ln so vi h thng mng hin ti ang s dng (t tc tiu chun 10/100/1000 Mbps ). H thng mng LAN mi l h thng mng mnh c th vn hnh h thng phn mm Qun l tng th bnh vin v p ng nhu cu m rng trong tng lai. C h thng phn mm ng nht phc v cho hot ng chuyn mn ca bnh vin trong vn iu hnh qun l. C h thng an ton bo mt thng tin phng chng c s tn cng ca cc Hacker, Virus, Spam, Malware 2. Hiu qu u t Khi hon thnh d n, Bnh vin s c mt h thng CNTT hin i, nhanh, mnh ng nht v cc phn mm ng dng trn mt h thng mt cng ngh. H thng CNTT ny s : Cung cp y , kp thi thng tin, d liu phc v cho Ban lnh o Bnh vin v cc b phn chc nng. Gip cho vic iu hnh qun l bnh vin c chnh xc, nhanh chng, kp thi v hiu qu. Tng tc ng truyn mng ln gp 10 ln so vi h thng mng hin ti, tng hiu xut x l ca B phn mm Qun l Bnh vin. H thng mng LAN mi s khc phc c cc s c nghn mng, sai lch s liu, p ng c nhu cu nng cp m rng trong tng lai. Gip to dng mt phong cch lm vic tin tin, hin i cho ton th CBCNV bnh vin. Gip gim thiu bin ch, tng hiu xut lm vic nhm p ng nhu cu khm cha bnh vin v bnh nhn. L cng c c lc cho thc hin h thng qun l cht lng ISO 9001:2000 ca Bnh vin. L c s, l tin cho vic ng dng trong tng lai ti Bnh vin cc thnh tu khoa hc cng ngh trong cng tc khm, cha bnh nh: bnh n in t; khm

cha bnh t xa (telemedicine); trao i, hp tc vi cc c s khm cha bnh trong nc v quc t v.v.