根據標準《智慧醫院建設指南》DB34/T 4011-2021給出的規范定義，智慧醫院是運用云計算、大數據、物聯網、移動互聯網和人工智能等技術，通過建立互聯、物聯、感知、智能的醫療服務環境，整合醫療資源，優化醫療服務流程，規范診療行為，提高診療效率，輔助臨床決策和醫院管理決策，實現患者就醫便利化，醫療服務智慧化，醫院管理精細化的一種創新型醫院。
定義辨析
與“智慧醫療”的辨析
根據標準《智慧城市 智慧醫療》GB/T 40028給出的規范定義，智慧醫療（smart medical）是一種為了獲得最高的防治效果和健康效益、低化衛生資源消耗、最小化的醫源性損害而進行的工程，是“精準醫療”和“云醫療”的有機整合,包含疾病預防、精準治療和健康管理等。 [1] 與智慧醫院相比，智慧醫療更側重于問診和治療過程的智慧化，主要對應手術機器人、問診機器人、遠程手術、AI影像診斷等技術；智慧醫院更側重于醫院管理工作全流程的智慧化。 [2]
與“醫療信息化、醫院信息化”的辨析
醫療信息化或醫院信息化主要指的是90年代初以來，建立在100M以太網和云計算技術基礎上的醫院信息系統建設工作，隨著技術進步醫療信息化概念也不斷納入新的技術內涵，包括3G/4G、人工智能、自然語言理解等；主要子系統包括HIS（醫院信息系統）、LIS（實驗室信息管理系統）、EMR（電子病歷系統）、PACS（影像歸檔和通信系統）、RIS（放射科信息系統）等。 [3] 醫療/醫院信息化與智慧醫院是近義詞，但醫療/醫院信息化在實踐中更側重于描述醫院專有的信息系統，而智慧醫院的涵義則還包含一些不止在醫院場景應用的通用信息系統，比如智慧用電系統、火災自動報警系統、能耗在線監測系統、智慧停車系統等。 [4]
目標
信息系統全面覆蓋醫療服務和醫院管理的全過程。 [1]
智能設備布署于醫療服務和醫院管理的關鍵節點。 [1]
基礎設施能夠支撐醫療服務和醫院管理的智慧化。 [1]
安全體系可有效保障醫療服務和醫院管理的運行。 [1]
內容
電子病歷
智慧醫院建設的第一個領域是面向臨床醫務人員，以電子病歷為核心的智慧醫療。2010年，為規范醫療機構電子病歷管理、臨床使用，促進醫療機構信息化建設，衛生部印發《電子病歷基本規范（試行）》。2018年，國家衛生健康委制定了《電子病歷系統應用水平分級評價管理辦法（試行）》，將電子病歷分為8級管理，并提出了“所有三級醫院在2019年達到分級評價3級以上，到2020年達到4級以上；所有二級醫院在2020年達到3級以上”的目標。 [5]
就診服務
智慧醫院建設的第二個領域是以患者為對象的智慧服務。2019年，國家衛生健康委發布《醫院智慧服務分級評估標準體系（試行）》，將醫院“智慧服務”分成5級，主要指醫院（特別是三級醫院）利用互聯網、物聯網等信息化手段，為患者提供預約診療、候診提醒、院內導航等服務，范圍涵蓋診前、診中、診后和基礎安全等就診全流程。 [5]
醫院后勤
智慧醫院建設的第三個領域是面向醫院管理者的智慧管理。主要指醫院運用物聯網、大數據等技術進行內部管理，主要指后勤、運營等領域的智慧用電、能耗在線監測等系統建設，也包括科研、教學方面智慧化管理的內容，相當于為醫院配備“智能管家”，促進醫院管理精細化。相關主管部門表示，國家后續將出臺“智慧管理”的分級評價文件，以評促建，推動醫院智慧管理的標準化。 [5]
硬件基礎
物聯感知設備
物聯感知設備應實現對智慧醫院的基礎設施、環境、設備和人員等的識別和信息采集與監控，包括但不限于安全感知設備（智慧用電系統、電氣火災監控系統、火災自動報警系統、能耗在線監測系統）、環境感知設備（環境溫濕度監測、固體顆粒物監測）、圖像感知設備（人臉識別系統）、身份感知設備、位置感知設備、設施感知設備和其他感知設備。 [1] 物聯感知系統采集的時間序列監測數據和音視頻數據需要與智慧醫院其他子系統中的登記信息和設施設備使用數據結合起來才能獲得實用效果。 [7]
服務器與通信設備
服務器指提供數據計算與存儲資源的設備，通信設備包括公用網通信設備和專用網通信設備。 [1]
其他智能硬件
包括但不限于自助服務設備、導診機器人、院內智能導航設備、床旁結算設備、床旁智能交互設備、車載智能急救設備、智能語音設備、自動發藥設備、智能藥柜、智能輸液監測設備、智能體征監測設備、智能診療助手、手術機器人、生物三維打印設備、智能貨架、智能柜、物流機器人、智能消毒供應管理設備、冷鏈智能監測設備、智能能耗管理設備、智能安保管理設備、智能綜合服務設備。
參考資料
1、《智慧醫院建設指南》．全國標準信息公共服務平臺．2021-09-03[引用日期2022-07-05]
2、李建功,唐雄燕.智慧醫療應用技術特點及發展趨勢[J].醫學信息學雜志,2013,34（06）:2-7+17.
3、王立波,王季,田甜,王建國,逯長生.淺談我國醫院信息化的現狀和發展趨勢[J].吉林醫學,2013,34（01）:195-198.
4、俞磊. 基于物聯網技術的智慧醫院架構及服務訪問研究[D].合肥工業大學,2014.
5、胥婷,崔文彬,于廣軍.我國智慧醫院建設現狀及發展路徑[J].中國醫院,2020,24（03）:1-3+10.
6、許立陽,承孝敏,郭強,葉通,許滸.智慧用電概念辨析.《產業科技創新》,2021（4）:29-31.
7、李德仁,姚遠,邵振峰.智慧城市中的大數據[J].武漢大學學報（信息科學版）,2014,39（06）:631-640.
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SV-10P/10V/10D SIP mini對講終端 是專門針對行業用戶需求研發的一款SIP mini 對講產品，外觀小巧，功能強大，集智能安防、音/視頻對講和廣播功能于一體，性價比高。支持壁掛式安裝和86工程底盒嵌入式安裝兩種安裝方式。防護等級滿足IP54標準，可以有效地防塵和防潑水，適用于室內場景，可以為用戶提供優質的通訊對講服務。
ASL系列調光驅動器(以下簡稱模塊)，是安科瑞 ALIBUS 智能照明控制系統的控制模塊。該模塊和其他設備（諸如智能面板、傳感器等）連接到一起，組成一套完整的照明控制系統，實現大型公建、樓宇照明系統的智能管理。
智慧醫院監控系統用工業千兆8光8電 帶管理功能 千兆8光8電HBQ8800系列是一款非網管型工業級百兆光纖交換機，擁有8個千兆光口8個10/100/1000Base-T（X）自適應以太網RJ45接口。可幫助用戶實現以太網數據的交換、匯聚以及遠距離光傳輸功能。設備采用無風扇，低功耗設計，具有使用方便、體積小巧、產品設計符合以太網標準，添加防雷、防靜電保護措施。
智慧醫院護士喊話網絡吸頂ip喇叭，采用防水設計，本網絡音柱可播放來自網絡的音頻，或進行聲卡喊話。本網絡音柱可用于校園、銀行、社區、酒店、商場等需要揚聲和本地擴音的場所。
標準RJ45網絡接口，可以放置在網絡系統中的任何地方；機場對講網絡應急廣播ip對講終端YA50
