Intel：云上健康新生態(20頁).pdf

1、Intel Health & Life SciencesIntel Confidential Do Not Forward 吳聞新 醫療健康與生命科學部Health & Life Sciences Intel Health & Life SciencesIntel Confidential Do Not Forward 目錄 Outline 健康醫療業務服務的趨勢和多樣化 Healthcare Business Services: Challenges & Trend 醫院業務服務的微服務化及API治理 Hospital Business Services: Microservices & A

2、PI Governance 區塊鏈及網絡功能微服務 Blockchain and NFV as Microservices Intel 混合云及數據中心策略 Intel Hybrid Cloud and Data Center Strategy 2 Intel Health & Life SciencesIntel Confidential Do Not Forward 大健康向左走，降低成本提升質量 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 醫療服務的新趨勢 Medical Service Trends in Healthcare Intel Health & Life SciencesIntel Confidential Do Not Forward 技術催生多樣化的醫療業務形態 Diversified Healthcare Business Models Driven by IT 5 互聯網醫院 Internet Hospital 遠程醫療 Telemedicine 醫聯體 Hospital Union 健康管理 Health Management 醫養結合 Agi

5、ng Medical Care 醫藥分開 Separation of Clinic From Pharmacy Intel Health & Life SciencesIntel Confidential Do Not Forward 微服務 Microservices 醫院業務應用的微服務化 Hospital Business Decomposed as Microservices 6 掛號 Registration REST API 數據庫適配器 ADAPTER Registration Database 支付 Payment REST API 數據庫適配器 ADAPTER Payment

6、 Database 藥房 Pharma REST API 數據庫適配器 ADAPTER Payment Database 虛擬機實例 EC2 Instance 1 DOCKER CONTAINER 容器 掛號 Registration REST API DOCKER CONTAINER 容器 掛號 Registration REST API 虛擬機實例 EC2 Instance 2 DOCKER CONTAINER 容器 掛號 Registration REST API DOCKER CONTAINER 容器 掛號 Registration REST API 負載均衡器 Load Balanc

7、er 單個微服務易于開發、理解和維護 Faster to develop, much easier to understand and maintain 每個服務可自由選擇開發技術單獨開發 Free to choose development technologies 每個服務可獨立快速部署 Deployed independently and rapidly 每個服務可獨立擴展 Scaled independently & easily 優勢 Advantages 分布式系統中進程間通訊更復雜 Complex IPC mechanism in distributed systems 分區數據

8、庫的事務一致性難保證 Business transactions issue due to partitioned database 服務間依賴關系影響測試和變更 Test & change impacted due to dependencies among services 高可用部署困難 Hard to deploy for high availability 不足 Drawbacks Intel Health & Life SciencesIntel Confidential Do Not Forward 典型的針對患者的移動 APP 同時使用多個微服務 A Typical Patie

9、nt Mobile APP Consumes Multiple Microservices in One Page 7 掛號 Registration REST API 支付 Payment REST API 檢查 Lab Test REST API 導醫 Guidance REST API 候診 Awaiting REST API 通知 Notification REST API 客戶端直接訪問微服務 Direct Access to Microservices 客戶端實現復雜 Complex client side coding 不能支持某些Web不友好的協議 Unable to hand

10、le web-unfriendly protocols 難以應對可能的服務重構 Challenge to adapt to restructuring of microservices Intel Health & Life SciencesIntel Confidential Do Not Forward ONC關注利用APIs提供更多的健康服務 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 數據安全 Data Security 成本 Cost 新生態 Echo System Intel Health & Life SciencesIntel Confidential Do Not Forward APIs的技術演進和互操作性發展 Technology Evolution of APIs and Interoperability Development APIs Access EDI 機器解讀，格式簡 單，數據共享內容 有限 重量級，基于標準的互操作簡單易用的REST API SOA for Healthcare 支持基于臨床數據的創新 App應用 通過數據分

13、析提供數據服務 為第三方提供標準化的數據 接口 架構的變革 實施復雜 性能和效率 在私有網絡中進行的 成本高 用簡單的方法解決復雜的問題 9 APIs將數據提供給數據 使用者以及創新合作 伙伴，帶來的價值遠 遠超出想象 Intel Health & Life SciencesIntel Confidential Do Not Forward 微服務APIs的部署 The deployment of Microservices and APIs 10 公有云 Public 健康云 Public 2 私有云 Private 醫院數據中心 Hospital data center 外聯平臺 Outr

14、each Platform Intel Health & Life SciencesIntel Confidential Do Not Forward 基于 FHIR 實現APIs對數據標準的訪問 APIs using FHIR allow applications to access data in a standardized way 11 REST 消息 Message 文檔 Document 服務 Service CDA FHIR FHIR 資源 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 通過 API 網關管理 API 的使用 Manage API Consumption Through API Gateway 12 簡化通訊simplify client-service communication 簡化客戶端代碼simplify client-side coding 挑戰 Bad 又一個高可用組件new component developed 成為更新瓶頸bottleneck when add

16、service points API網關 GATEWAY REST API 請求轉發 與合成 Request routing, composition 協議轉換 Protocol translation FHIR CDA/XDS/HL7 認證和授權 Authentication & access control 監控 Health check & monitoring 負載均衡 Load balancing 緩存 Caching Cache policies 請求分片 和管理 Request shaping & management 靜態響應處理 Static response handlin

17、g 高性能/高可用/ 可擴展 High performance, availability, scalability 支持各種異步和 同步通信機制 Support various inter- process communication mechanism 支持服務注冊與 發現 Support service registration and discovery 故障處理 Fault handling 優勢 Good Intel Health & Life SciencesIntel Confidential Do Not Forward 交換機/路由器/防火墻Switch/Router/Fi

18、rewall 醫院外網 Hospital Internal Network 醫院 SaaS 服務 Hospital SaaS Services 醫院業務微服務及APIs網絡拓撲 A Hospital Microservice Network Diagram 13 醫院內網 Hospital Internal NetworkDMZ 區域 外部客戶端 Clients API網關 GATEWAY REST API 支付 Payment REST API HIS 掛號 Registration REST API 智能診斷 Image AI REST API 門診 Outpatient REST API

19、 醫囑 Medical OrderREST API 基層PACS Primary Care PACS 醫生 Doctor Web UI 醫院門戶 Hospital Portal 患者主索引 Patient Identity REST API EMR 第三方系統/服務3rdParty Services 銀聯 UnionPay 醫保 Insurance 健康卡 Health Card VPNDDNDDN 語音服務 NLP Internet 醫藥采購 Pharma 醫聯體 Hospital Union 遠程醫療 Telemedicine 疾控 CDC Intel Health & Life Scie

20、ncesIntel Confidential Do Not Forward 基于SGX的聯盟鏈保障高性能可信交易和數據安全 SGX-Based High Performance & Trustworthy Consortium Blockchain 14 API網關 GATEWAY REST API 區塊鏈節點 Blockchain Node 區塊鏈節點 Blockchain Node 區塊鏈節點 Blockchain Node 醫生 Doctor 患者 Patient 基層醫院 Primary Care Hospitals 區塊鏈基礎設施 Blockchain Infrastructure

21、掛號 Registration REST API 區塊鏈 BLOCKCHAIN REST APIScalability Typical Consensus 私鑰管理 Secure key mgmt. (private key storage) 遠程證據 Trust (remote attestation) 共識 Consensus (efficient block-leader election) 隱私 Privacy (data protection from 3rd parties) Intel Health & Life SciencesIntel Confidential Do Not

22、 Forward SDN / NFV專用網絡硬件 Dedicated Network HW 虛擬網絡 敏捷安全動態配置 Virtualized Network - Agile, Secure and Dynamic Provisioning 防火墻 Firewall VPN入侵監測系統 Intrusion Detection System SDN/NFV基礎設施 TEM/OEM 專有OS ASIC, DSP, FPGA, ASSP至強處理器網卡加速卡 Switch Silicon開源 服務器是新一代網絡平臺 Enabling the Server to Become the New Netwo

23、rking Platform 防火墻 Firewall 虛擬專網 VPN 客戶終端設備 CPE 深度包檢測 DPI 分組數據網關 PDG Intel Health & Life SciencesIntel Confidential Do Not Forward 軟件定義架構(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 集中式自動化 Centralized and Auto

25、mated 平臺能力 Platform Capability 池化、虛擬化資源 Aware Pooled, Virtualized Resources 現成的服務器平臺 Readily Available Server-based Platforms 已有系統的可容納性 Accommodates Legacy Intel Health & Life SciencesIntel Confidential Do Not Forward 結合具體情況，選擇最適合的SDI模式 Choose the Best SDI Model For Your Use Case 17 高可擴展性：提升單個組件如 何以

26、及何時擴展性和靈活性 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 傳統IT Traditional IT 有限的可擴展性 Limited scalability Hardware Silo d infrastructure ComputeNetworkStorage 高可擴展性：最大化集成以增 加規模和部署 Highly Scalable: Maximum integration for easy scale and deployment Intel Health & Life

28、 SciencesIntel Confidential Do Not Forward 基礎架構的一致性至關重要 Consistent Infrastructure Matters 18 全行業經針對英特爾架構開發和 優化企業級軟件和應用 Industry has developed enterprise software optimized for Intel Architecture 不可互操作的虛擬化基礎設施 導致孤立的計算資源 Non-interoperable virtualization infrastructure requires isolated compute silos 英

29、特爾架構的“云”均已優化，支持各種“云”間的動態遷移 All intel clouds are optimized for live migration between clouds Non-IA Intel Health & Life SciencesIntel Confidential Do Not Forward 英特爾助力企業混合云戰略 Why Intel on Hybrid Cloud? 19 攜手英特爾，改變今天，共創明天 Lets us help you transform today and prepare for tomorrow 云計算核心 的領導者 Cloud Leade

30、rship 全球生態系統 Unparalleled Ecosystem 企業IT實踐 Enterprise IT Experience 獨一無二 的合作伙伴 Unique Partner 英特爾至強可擴展處理器是全球云計算的核心 Intel powers the cloud with Intel Xeon Scalable processors at the foundation of a significant portion of the worlds clouds 深度攜手全球最大企業ISVs、云提供商、系統 供應商，打造強大的解決方案提供商生態系統 Deep engagement wi

31、th the largest global enterprise ISVs, cloud providers, system vendors creates a robust ecosystem of solution providers 英特爾的IT諳熟IT，管理著公司內部14萬臺服 務器和64個數據中心 Intel knows IT with its own experience managing 140K servers & 64 datacenters 作為獨一無二的合作伙伴，英特爾可以幫助您 為未來的混合云技術解決方案而構建 As a unique partner, Intel can help you transform with hybrid cloud technology solutions built for the future of IT 20