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Intel:云上健康新生态(20页).pdf

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Intel:云上健康新生态(20页).pdf

1、Intel Health & Life SciencesIntel Confidential Do Not Forward 吴闻新 医疗健康与生命科学部Health & Life Sciences Intel Health & Life SciencesIntel Confidential Do Not Forward 目录 Outline 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API治理 Hospital Business Services: Microservices & A

2、PI Governance 区块链及网络功能微服务 Blockchain and NFV as Microservices Intel 混合云及数据中心策略 Intel Hybrid Cloud and Data Center Strategy 2 Intel Health & Life SciencesIntel Confidential Do Not Forward 大健康向左走,降低成本提升质量 Go left to improve quality of life, reduce cost 3 Skilled Nursing Facility Assisted Living Reside

3、ntial Care Inpatient / Acute Community Hospital Specialty Clinic Acute Care lowhigh low high highlow Level of Patient Autonomy Cost of Care Quality of Life Remote Patient Monitoring Senior Care for Aging in Place Population Health with Wearables Telemedicine Home Care Intel Health & Life SciencesInt

4、el Confidential Do Not Forward 医疗服务的新趋势 Medical Service Trends in Healthcare Intel Health & Life SciencesIntel Confidential Do Not Forward 技术催生多样化的医疗业务形态 Diversified Healthcare Business Models Driven by IT 5 互联网医院 Internet Hospital 远程医疗 Telemedicine 医联体 Hospital Union 健康管理 Health Management 医养结合 Agi

5、ng Medical Care 医药分开 Separation of Clinic From Pharmacy Intel Health & Life SciencesIntel Confidential Do Not Forward 微服务 Microservices 医院业务应用的微服务化 Hospital Business Decomposed as Microservices 6 挂号 Registration REST API 数据库适配器 ADAPTER Registration Database 支付 Payment REST API 数据库适配器 ADAPTER Payment

6、 Database 药房 Pharma REST API 数据库适配器 ADAPTER Payment Database 虚拟机实例 EC2 Instance 1 DOCKER CONTAINER 容器 挂号 Registration REST API DOCKER CONTAINER 容器 挂号 Registration REST API 虚拟机实例 EC2 Instance 2 DOCKER CONTAINER 容器 挂号 Registration REST API DOCKER CONTAINER 容器 挂号 Registration REST API 负载均衡器 Load Balanc

7、er 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 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

8、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 deploy for high availability 不足 Drawbacks Intel Health & Life SciencesIntel Confidential Do Not Forward 典型的针对患者的移动 APP 同时使用多个微服务 A Typical Patie

9、nt Mobile APP Consumes Multiple Microservices in One Page 7 挂号 Registration REST API 支付 Payment REST API 检查 Lab Test REST API 导医 Guidance REST API 候诊 Awaiting REST API 通知 Notification REST API 客户端直接访问微服务 Direct Access to Microservices 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 hand

10、le web-unfriendly protocols 难以应对可能的服务重构 Challenge to adapt to restructuring of microservices Intel Health & Life SciencesIntel Confidential Do Not Forward ONC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 APIs 8 ONCs interoperability efforts focus on improvi

11、ng individuals 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

12、Technology 数据安全 Data Security 成本 Cost 新生态 Echo System Intel Health & Life SciencesIntel Confidential Do Not Forward APIs的技术演进和互操作性发展 Technology Evolution of APIs and Interoperability Development APIs Access EDI 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 API SOA for Healthcare 支持基于临床数据的创新 App应用 通过数据分

13、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 用简单的方法解决复杂的问题 9 APIs将数据提供给数据 使用者以及创新合作 伙伴,带来的价值远 远超出想象 Intel Health & Life SciencesIntel Confidential Do Not Forward 微服务APIs的部署 The deployment of Microservices and APIs 10 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 Outr

14、each Platform Intel Health & Life SciencesIntel Confidential Do Not Forward 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 way 11 REST 消息 Message 文档 Document 服务 Service CDA FHIR FHIR 资源 RESOURCES FHIR 支持不同的互操作范式 The FHIR Standard Supports Multiple Interope

15、rability ParadigmsHL7 CDA XDS Intel Health & Life SciencesIntel Confidential Do Not Forward 通过 API 网关管理 API 的使用 Manage API Consumption Through API Gateway 12 简化通讯simplify client-service communication 简化客户端代码simplify client-side coding 挑战 Bad 又一个高可用组件new component developed 成为更新瓶颈bottleneck when add

16、service points API网关 GATEWAY REST API 请求转发 与合成 Request routing, composition 协议转换 Protocol translation FHIR CDA/XDS/HL7 认证和授权 Authentication & access control 监控 Health check & monitoring 负载均衡 Load balancing 缓存 Caching Cache policies 请求分片 和管理 Request shaping & management 静态响应处理 Static response handlin

17、g 高性能/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 Good Intel Health & Life SciencesIntel Confidential Do Not Forward 交换机/路由器/防火墙Switch/Router/Fi

18、rewall 医院外网 Hospital Internal Network 医院 SaaS 服务 Hospital SaaS Services 医院业务微服务及APIs网络拓扑 A Hospital Microservice Network Diagram 13 医院内网 Hospital Internal NetworkDMZ 区域 外部客户端 Clients API网关 GATEWAY REST API 支付 Payment REST API HIS 挂号 Registration REST API 智能诊断 Image AI REST API 门诊 Outpatient REST API

19、 医嘱 Medical OrderREST API 基层PACS Primary Care PACS 医生 Doctor Web UI 医院门户 Hospital Portal 患者主索引 Patient Identity REST API EMR 第三方系统/服务3rdParty Services 银联 UnionPay 医保 Insurance 健康卡 Health Card VPNDDNDDN 语音服务 NLP Internet 医药采购 Pharma 医联体 Hospital Union 远程医疗 Telemedicine 疾控 CDC Intel Health & Life Scie

20、ncesIntel Confidential Do Not Forward 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 Blockchain 14 API网关 GATEWAY REST API 区块链节点 Blockchain Node 区块链节点 Blockchain Node 区块链节点 Blockchain Node 医生 Doctor 患者 Patient 基层医院 Primary Care Hospitals 区块链基础设施 Blockchain Infrastructure

21、挂号 Registration REST API 区块链 BLOCKCHAIN REST APIScalability Typical Consensus 私钥管理 Secure key mgmt. (private key storage) 远程证据 Trust (remote attestation) 共识 Consensus (efficient block-leader election) 隐私 Privacy (data protection from 3rd parties) Intel Health & Life SciencesIntel Confidential Do Not

22、 Forward SDN / NFV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 Firewall VPN入侵监测系统 Intrusion Detection System SDN/NFV基础设施 TEM/OEM 专有OS ASIC, DSP, FPGA, ASSP至强处理器网卡加速卡 Switch Silicon开源 服务器是新一代网络平台 Enabling the Server to Become the New Netwo

23、rking 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 Intel Health & Life SciencesIntel Confidential Do Not Forward 软件定义架构(SDI)的部署 Deploy Software-Defined Infrastructure 16 Service Orchestration Compute Controller Policy-Based Automation Self-Service Portal Network Controller Storage

24、Controller Security Controller Servers Virtualization Infrastructure Pool VMs Virtual Router Virtual Firewall Virtual VPN Virtual SAN Scale Out Storage Legacy Storage Infrastructure Attributes Containers PowerPerformanceThermalsUtilizationLocationLatencyDurabilitySecurity 集中式自动化 Centralized and Auto

25、mated 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 Available Server-based Platforms 已有系统的可容纳性 Accommodates Legacy Intel Health & Life SciencesIntel Confidential Do Not Forward 结合具体情况,选择最适合的SDI模式 Choose the Best SDI Model For Your Use Case 17 高可扩展性:提升单个组件如 何以

26、及何时扩展性和灵活性 Highly Scalable: Increased flexibility with how and when individual components are scaled Virtualization Certified factory built 超融合 Hyper-Converged Hardware Components pre-integrated and optimized in appliance by vendor Virtualization Certified factory built 融合 Converged Hardware Individ

27、ual components integrated by end user Virtualization Certified compute, network and storage 传统IT Traditional IT 有限的可扩展性 Limited scalability Hardware Silo d infrastructure ComputeNetworkStorage 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 Intel Health & Life

28、 SciencesIntel Confidential Do Not Forward 基础架构的一致性至关重要 Consistent Infrastructure Matters 18 全行业经针对英特尔架构开发和 优化企业级软件和应用 Industry has developed enterprise software optimized for Intel Architecture 不可互操作的虚拟化基础设施 导致孤立的计算资源 Non-interoperable virtualization infrastructure requires isolated compute silos 英

29、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 clouds Non-IA Intel Health & Life SciencesIntel Confidential Do Not Forward 英特尔助力企业混合云战略 Why Intel on Hybrid Cloud? 19 携手英特尔,改变今天,共创明天 Lets us help you transform today and prepare for tomorrow 云计算核心 的领导者 Cloud Leade

30、rship 全球生态系统 Unparalleled Ecosystem 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 portion of the worlds clouds 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 Deep engagement wi

31、th the largest global enterprise ISVs, cloud providers, system vendors creates a robust 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 20

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