I. The storage system and backup program of health records should be improved. There is no doubt that health information needs to be stored and accumulated for a long time, but the amount of data is so large that it is impossible for all information to be stored online for a long time. As a resident health record system, not only to realize the long-term preservation of resident information. And in case of failure, it is required that none of the information can be lost, and that it can be extracted when needed. The data archiving method is very different from the traditional data backup method centered on various types of business. To this end, a hierarchical storage structure should be established to realize the unity of mass storage and real-time access. Realize automatic archiving, provide tools to restore the online state; in the event of a failure, the ability to restore data to the breakpoint state.
Two, data exchange standards and methods, one of the advantages of health records is to facilitate the exchange of information between medical institutions. In order to achieve this goal, the need to develop a standard information exchange format; provide means of conversion, can be converted to a standard exchange format for information transmission over the network or deposited in removable media, and vice versa. Related to the above work is the need to develop a series of standards and specifications, the introduction of HL7 standards, localization studies, this aspect of the work needs to be actively organized by the relevant state departments, the need for information technology personnel, clinical workers, hospital management workers to cooperate to complete.
Third, the security mechanism of the health record, because of the record of a large number of residents' basic information and privacy information, its security control is particularly important. Sentence Mang Technology adopts the B / S architecture of the residents' health records with security technology, including cookie encryption, URL random code, SQL and other code to prevent the injection of technology to prevent information leakage.
The hardware and software technology to realize the large-scale promotion of the residents' health records has basically been available. In developed countries, like the United States, Japan, many universities, research institutions, manufacturers have invested in research work in this field. Although the realization of perfecting it may also take a long time to complete. However, we seize the opportunity to establish the framework of China's residents' health records, laying the foundation for the hospital information system to clinical applications, the depth of the development of the treatment measures of tertiary prevention. The Ministry of Health's Guidance on Standardizing the Management of Urban and Rural Residents' Health Records, published by the Ministry of Health on December 3, 2009, states that the goal of the work to establish urban and rural residents' health records is - starting in 2009, to gradually establish residents' health records in a unified manner across the country and to implement standardized management. By the end of 2009, in accordance with the requirements of the State for the unified establishment of residents' health records, the pilot establishment rate of residents' health records in rural areas had reached 5 per cent, and the rate of residents' health records in urban areas had reached 30 per cent; by 2011, the rate had reached 30 per cent in rural areas and 50 per cent in urban areas. By 2020, a unified, scientific and standardized system for the establishment, use and management of health records will have been initially established, covering both urban and rural residents and in keeping with grass-roots realities. Health records as a carrier, better for urban and rural residents to provide continuous, comprehensive, appropriate, economic public **** health services and basic medical services.
Currently, due to the rudimentary medical equipment and low degree of informatization at the grassroots level in rural China, the collection of residents' health records has brought considerable difficulties. Data accuracy and validity are low, and it also greatly takes up the working time of primary care doctors.
In order to solve this problem, Novo Nordisk has developed the Novo Nordisk Portable Health Record Data Collection Device relying on the Novo Nordisk Remote Health Management System, which can be used to realize the automated collection of residents' health records. It is easy to carry, simple to use, safe and hygienic, and adopts Bluetooth automatic transmission technology to accurately and quickly establish residents' health records, realize repetitive health data collection, turn dead files into live, analyze testing data, and realize chronic disease screening and management.
January 29, 2013, the residents' health file self-service collection system, through the Jilin Provincial Health Information Society organized expert verification. And issued in the form of a red-headed document.
Experts attending the demonstration were, the project team leader is also the chairman of Shandong Novo Nordisk Group, Liu Zhenping, vice president of Jilin Health Information Society, He Zhiyuan, Jilin University School of Computer Science doctoral tutor, Professor Li Dechang; deputy leader of the project team, Tong Charter, executive vice president of Jilin Information Society, Dr. Zhan Keren; members of the project expert group, the chairman of the Board of Directors of the Jilin Health Information Society, and other people attended the The discussion meeting.
The discussion meeting was chaired by He Zhiyuan and Zhanke respectively. At the beginning of the meeting, Mr. He Zhiyuan, the secretary-general, introduced the experts; then he listened to Mr. Liu Zhenping, the chairman of the board of directors of Shandong Novo Nuotai, who introduced the development and application of the remote residents' health card support system of the Noonan, and the experts questioned and evaluated the technical aspects of the support system, the technical parameters, and the related technical problems.
Experts believe that: Sino Analytica Remote Resident Health Card Support System complies with the relevant technical standards required by the Ministry of Health's Guidelines on Standardizing the Management of Urban and Rural Residents' Health Records, the National Standard for Basic Public ****health Services and the "3521" Project, etc., and is based on the data architecture of a solid cloud storage platform, a variety of network transmission methods, and the North American medical information system, which is based on a solid cloud storage platform. With the solid cloud storage platform as the data structure, various network transmission modes, and based on the North American medical information assessment model, together with the rich and diversified monitoring terminals that are easy to operate, we have made great achievements in the aspects of "Bluetooth transmission mode", "physiological data auto-screening", and "cloud storage of comprehensive health records".
The system has been used hundreds of thousands of times in 24 counties and cities in Shandong and Henan in the past three years, and the experts believe that the remote residents' health card support system, full screening management system and other three software systems involved in the project, Noonan remote residents' health record collection box, residents' health records of a series of products have been built through the application of the observation, and the experts unanimously agreed that the system is currently at the leading level in the country, and is very useful in the residents' health records of a series of products, and the system is very useful in the residents' health records of a series of products. Experts unanimously agreed that the system is currently at the leading level in China, and has filled the gaps in the application support of residents' health card and related functions in China, and the project can be widely promoted and applied in all provinces, counties, districts, township health centers and communities. Residents' health records are coded by the national unified coding system, using 17-bit coding system, and the ID card number of the archived residents as a unified identification code, laying the foundation for realizing resource **** enjoyment under the information platform.
How does the 17-digit coding system work?
The first segment is 6 digits, indicating the administrative divisions of counties as well as those above counties, and the unified use of the Chinese People's Republic of China **** and the State Administrative Division Code (GB2260);
The second segment is 3 digits, indicating the administrative divisions at the township (street) level, and the coding rules for the code of the sub-county administrative divisions according to the national standard (GB/T10114-2003);
The second segment is 3 digits, indicating the administrative divisions at the township (street) level, in accordance with the national standard "Rules for Coding the Code of Sub-County Administrative Divisions";
The third paragraph is a 3-digit number, indicating the village (neighborhood) committee and so on, specifically divided into: 001-099 for neighborhood committees, 101-199 for village committees, 901-999 for other organizations;
The fourth paragraph is a 5-digit number, indicating the residents of the individual serial number, compiled by the archiving organization in accordance with the order of archiving.