Instructions for the use of the Basic Specification for the New Rural Cooperative Medical Information System. 1
Part I. General Provisions. 3
Part II: Platform Construction Specifications for the New Rural Cooperative Medical Information System. 4
Section I. Basic Principles of Information System Development. 4
Section II: Database System Construction Specifications. 5
Section III Network Platform Construction Specifications. 5
Section 4: System Construction Security Specification . 6
Section III: Functional Specification of New Rural Cooperative Medical Information System . 8
I. User Classification. 8
II. Functional Classification . 9
1. Basic Functions . 9
2. Optional functions. 10
Part IV: Specification of the Basic Data Set of the New Rural Cooperative Medical Information System . 12
I. Related organization data D101 12
II. County/township/village/group natural file data D201 13
III. Family file data D301 14
IV. Individual farmer basic data D401 14
V. Medical compensation data D501-502 16
1, Outpatient medical compensation data D501 16
2. Inpatient medical compensation data D502 17
VI. Cooperative medical fund management data D601-602 19
1. Farmer's contribution and family account management part D601 19
2. Cooperative medical fund management part D602 20
VII, Financial Management, Supervision and Audit Management Data D701-702 20
1. Financial Management Data D701 20
2. Supervision and Audit Management Data D702 21
Part V: Specification of Data Codes for the New Rural Cooperative Medical Care Information System. 22
I. Standard references, writing rules . 22
II. Catalog of data code specifications . 22
Three, data code specification . 23
S101-01 Gender Codes . 23
S101-02 Marital status code . 24
S101-03 Ethnicity code . 24
S101-04 Area code . 26
S101-05 Health status code . 26
S101-06 Family relationship code . 27
S101-07 Occupational classification codes . 27
S101-08 Professional and Technical Position Codes . 27
S101-09 Administrative Position Codes . 28
S101-10 Household attribute codes . 28
S101-11 Relocation marker code . 29
S201-01 Health organization code (code description) . 29
S201-02 Agency affiliation code . 29
S201-03 Organization economic type code . 30
S201-04 Clinic department code . 30
S201-05 Organization category code. 34
S201-06 Type code of sentinel medical organization . 36
S201-07 Funding department type code . 37
S201-08 Medical organization level code . 37
S301-01 Disease classification code . 37
S301-02 Admission status code . 42
S301-03 Discharge status code . 42
S301-04 Medical service item code (using the National Medical Service Price Item Specification) . 42
S301-05 Type of visit code . 42
S301-06 Reimbursement Category Codes . 43
S301-07 Participant attribute code . 43
S301-08 Procedure name code (refer to ICD-9CM3) . 43
S301-09 Reimbursement account category code . 43
S401-01 Essential drug codes (see National Essential Drug List) . 43
Part VI: Specification of Statistical Indicators for the New Rural Cooperative Medical Information System. 44
I. Classification . 44
II. Indicator items . 44
Part VII: Specification for Data Transmission of the New Rural Cooperative Medical Information System . 47
I. Outpatient Medical Compensation Data Transmission Specification T101 47
II. Inpatient Medical Compensation Data Transmission Specification T102 48
III. Quarterly Reporting Data Transmission Specification T200 50
IV. Yearly Reporting Data Transmission Specification T300 51
Basic Specification for the Information System of the New Type of Rural Cooperative Medical Care . Instructions for Use
I. This specification is prepared to adapt to the construction of the national new rural cooperative medical information system, and is mainly used to standardize the design and development of the new rural cooperative medical information system across the country.
Second, this specification includes six parts: platform construction specification of the new rural cooperative medical information system, application system function specification, basic data set specification, data code specification, statistical index specification and data transmission specification.
Third, the platform construction specification stipulates the basic principles of the platform construction of the new rural cooperative medical information system, and the localities should comply with this specification when carrying out the construction of this system.
Four, the application system function specification is divided into basic functions and optional functions of two parts. The basic function is the new rural cooperative medical information system around the functions that must be realized, *** divided into six modules. One of the accounting module in the national new rural cooperative medical accounting system before the announcement of the unified requirements for the time being. Optional modules can be used selectively in the construction of the new rural cooperative medical information system. User classification specification in the user classification can be supplemented according to the actual situation in each region.
V. The basic data set is the basic data used for information expression in the new rural cooperative medical information system. Basic data set has the following meanings:
1, as the new rural cooperative medical information system design of basic data must be given in the software and database design;
2, as the new rural cooperative medical information system standardized data standards, in the name, definition, attributes, expression, etc., has the exclusivity;
3, the basic data set does not Include all the data that may appear in the new rural cooperative medical information system, but are the most basic of them;
4. The names of the indicators in the design of statistical reports of the new rural cooperative medical information system of the competent administrative department shall follow the standards of the basic data set.
The basic data set has six items: data code, data name, data type, length, relevant data code standards and remarks. Among them: the data code for the specification given for the expression of basic data for the only code, the code should be designed with the database table fields have a cross-relation; data length in the space for the length of the unspecified; the relevant data code standards in the specification for the data code specification of the code.
Sixth, the data code specification is corresponding to the basic data set of some data code expression standards. Data code specification *** listed in the five categories of code. Data code specification of routine maintenance should generally be unified by this specification preparation organization. If some information cannot be expressed, the information should be coded into "other" first, and then the information should be fed back to the organization compiling this specification in a timely manner. For the convenience of users, this specification is included in some of the national and industry standards of the relevant entries, other relevant standards are not included, please refer to the relevant literature.
Seven, statistical indicators is the new rural cooperative medical work management and evaluation of the main basis. The statistical index specification defines seven types of common indexes of the new rural cooperative medical care information system.
VIII. Data transmission specification defines the content and format of data transmission between different organizations and between different systems. This specification defines the current new rural cooperative medical information system construction of the most commonly used four types of data transmission specifications.
Part I General Provisions
Article 1 In order to enable the construction of rural cooperative medical information systems around the country to achieve the goal of "a unified platform, network interconnection, information **** enjoyment and data mining", and to build a unified, standardized, secure and trustworthy national rural cooperative medical information system, the formulation of this specification.
Second, this specification is formulated on the basis of complying with the relevant national standards and norms and the relevant provisions of China's e-government application demonstration project, and taking into account the specific requirements of the national new rural cooperative medical care work.
Article 3 Definition of the new type of rural cooperative medical information system: the new type of rural cooperative medical information system refers to the use of computer hardware and software technology, network communication technology and other modern means, the new type of rural cooperative medical work occurs in the collection of information for the collection, storage, processing, extraction, transmission, aggregation and processing, so as to provide a comprehensive, automated management of the work of rural cooperative medicine and a variety of services information system. information system for providing comprehensive and automated management and various services for rural cooperative medical care.
Article 4: The construction specifications of the new rural cooperative medical care information system include six major parts, namely, platform construction specifications, application system function specifications, basic data set specifications, data code specifications, statistical index specifications and data transmission specifications.
Article 5 The new rural cooperative medical information system is interconnected on the basis of a unified data transmission interface to achieve the purpose of information **** enjoyment. Among them, the network platform is an optional part of the conditions do not allow the use of stand-alone system work, and regularly report the information using storage media.
Article VI of this specification will be unified in the use of the following code naming rules:
Article VII of this specification by the Ministry of Health is responsible for interpretation.
Part II: "New Rural Cooperative Medical Information System"
Platform Construction Specification
Section I. Basic Principles of Information System Development
Article I. Project Management Specification
The process of implementation of engineering projects requires management. Project management is a basic process, and management must manage the system building process, including the development process, operation process, maintenance process, and support process. Project management should carry out the following activities:
1. Development of the project plan
2. Implementation of the project and monitoring of the project
3. Review and evaluation of the project
4. Completion of the project
The second specification of the system development process
System development process includes requirements analysis, design, coding, integration, testing, activities such as software installation and acceptance. The system development process includes the following:
1, system requirements analysis
2, system design
3, software requirements analysis
4, outline design
5, detailed design
6, coding
7, software testing
8, system integration
9, System Testing
10, System Acceptance, Installation and Support
Article 3 System Operation Process Specification
The operation process of the system refers to the activities and tasks performed by the operator. The system operation process includes the following:
1. System operation
2. User support
Article 4 System maintenance process specification
The maintenance process contains the activities and tasks performed by the maintainer. This process is entered into when the system is to be modified due to bugs, defects, problems, or the need for improvements and modifications, and thus changes are to be made to the code and related documentation. Its purpose is to modify the existing system while maintaining its integrity. This process terminates with the decommissioning of the system. The specific activities of the system maintenance process are:
1. Analysis of problems/modifications
2. Implementation of modifications
3. Review and acceptance of maintenance
4. System migration
5. System decommissioning
Article 5 System support process
The system support process consists of the following six items:
1, Documentation Development Process
2, Configuration Management
3, Verification and Validation
4, Corrections and Improvements
5, Training
6, Establishment of the Environment
Any of the above Support Processes may be applied to the Acquisition, Project Management and Assurance, Development, Operation or Maintenance Processes, or to another Support Process.
Section II Database System Construction Specifications
Article 1 The database shall be selected as a relational database that conforms to the SQL language standard.
Article 2 The design of the database of the new rural cooperative medical care shall conform to the provisions of this specification on the basic data set and the requirements set forth by the unified statistical report on the information collected (see the corresponding section of this specification).
Article 3 the new rural cooperative medical care database management system shall meet the following maintenance requirements:
1, data entry: provide accurate, fast, complete data entry operation means, realize the application system in the data source occurs in a one-time input data.
2, data output: to provide a variety of output methods, including printing, export to Excel or txt file.
3, data *** enjoy: must be in accordance with the prescribed format, to provide system data *** enjoy the function, in order to realize the interface connection with other systems.
4, data backup: with the function of data backup, including automatic timed data backup, operating system backup and manual operation backup. In order to prevent unforeseen accidents and disasters, data must be backed up off-site.
5, data recovery: with data recovery functions, including operating system recovery and manual recovery.
Section III Network Platform Construction Specifications
Article 1 The construction of the network can be customized according to the situation of each place, but it must meet the requirements of TCP/IP protocol.
Article 2 The national network formation is planned and implemented by the Department of Rural Health Management of the Ministry of Health in accordance with the progress of rural cooperative medical informatization work.
Article 3 The network cabling should be structured cabling, should be in accordance with or reference to domestic and international as well as industry standards and norms relating to cabling design, and should be used in accordance with the standard products to be installed. Network cabling design should meet the practicality, advanced, security, maintainability, compatibility, reliability and economy of the comprehensive requirements.
Article IV network equipment should have good processing power, equipment structure, performance should have high availability, security, scalability, support for a variety of WAN communication protocols. It should also have firewall, NAT, DHCP, bandwidth management and other functions.
Section IV: System Construction Security Specification
Article I: Physical Security
1. Physical device security. Physical equipment security methods include: anti-theft, access control, identification, access control and other measures.
2, computer room security precautions. Computer room security precautions include: power supply, air conditioning, grounding, natural disaster prevention.
3, storage media security protection. Storage media for proper storage. Commonly used recording media library temperature, humidity should be the same as the host room. Other recording media should be specialized media library to save.
Second electromagnetic safety
1, electromagnetic leakage of equipment protection. When it is impossible to avoid strong electromagnetic interference in order to protect the computer system information security, can take effective electromagnetic shielding measures.
2, computer room shielding design. Host room radio interference field strength, at a frequency of 0.15 ~ 1,000MHz, should not be greater than 126dB. Host room magnetic interference environment field strength should not be greater than 800A / m. Host room floor and work surface of the electrostatic leakage resistance should be in line with the current national standards, "computer computer room with movable floor technical conditions" provisions.
3, electromagnetic leakage protection of communication links. Entities should be checked regularly. In particular, file servers, fiber optic cables (or cables), terminals and other peripherals for confidentiality checks to prevent illegal intrusion.
4. Strengthen the protection and management of network recording media. For example, the key confidential recording media to have anti-copying and information encryption measures, the disused disks should be destroyed by a person.
Article III Network Security
1, the border network security protection: In order to make the firewall effective, all information from and to the Internet must be through the firewall in and out. Firewalls allow only authorized information to pass through, and the firewall itself cannot be penetrated.
2, Intranet security protection: the division of internal security domains through the access to the authentication switch, the LAN is divided into a number of internal security domains, internal security domains and external security domains are independent of each other. The internal security domains are independent of the external security domains. They have absolute management rights to all their data.
3. Extranet security protection: The private data network belonging to the system can be established on the public data network through VPN virtual private line. Through the corresponding encryption and authentication technology to ensure that the user's data transmission security in the public network, so as to realize the network data exclusivity.
4, the network layer of security vulnerability scanning is an important technology in network security defense, is a low cost, good results, quick results, and network operation is relatively independent of the installation and operation of simple tools, which can be a large-scale reduction in the manual labor of security administrators, and is conducive to maintaining the unity of the security policy of the entire network and stability.
Article IV Information Security
1. Information security based on PKI trust service system. Based on PKI trust service system architecture, with public key certificate as the carrier, through encryption, decryption, signature, authentication and other core information security technologies to realize the confidentiality of data and information, integrity, non-repudiation, identity authentication support, to provide comprehensive trust services.
2. Information security based on PMI authorization service system. Based on the PMI authorization service system architecture, combined with the PKI system, the attribute certificate as a carrier, through the encryption and decryption, signature authentication and other technologies to achieve the rights, attributes and other resources, security, credibility, integrity, unified management support, to provide comprehensive authorization services.
Article V Data Security
1. Security protection of information storage. Information storage security protection methods include: data backup and recovery, secure database and secure operating system.
2, the use of information security. Information use of security protection methods are: computer virus prevention and control, data operation security and data transmission process security: encryption, signature.
Article VI System Security
1, authentication. Authentication methods are: **** enjoy secret-based authentication, physical characteristics based on authentication and key-based authentication, etc..
2, access control. Through the "autonomous access control" and "mandatory access control" methods to prevent unauthorized users from accessing the object.
3. Intrusion detection. Appropriate intrusion detection system should be used to detect access from unknown sources. If the phenomenon of malicious intrusion is detected, it should be automatically alarmed.
Article VII Personnel Security
1. Security management principles. The security management principles are: the principle of multiple people, the principle of limited tenure, and the principle of segregation of duties.
2. Principle of limited tenure. Computer system administrators, the term of office system, and the term of office is limited. Each administrator's term of office, it should be adjusted appropriately.
3. Separation of duties. Different parts of the system, should be managed by different administrators, separation of duties. Avoid excessive power of individual personnel to prevent improper things from happening.
Part III: "New Rural Cooperative Medical Information System" Functional Specifications
Part IV: "New Rural Cooperative Medical Information System" Basic Data Set Specifications
Part V: "New Rural Cooperative Medical Information System" Data Code Specifications
Standard References, Rules for Compilation
a) Where national/industry standards have been published follow national/industry standards. industry standards follow the national/industry standards;
b) reference to international standards and foreign national standards if there are no national/industry standards;
c) reference to the standards and norms that have been formed in various parts of the country;
d) this specification defines the standards should first consider the more mature programs, and prioritize the data code standards that are urgently used in the current rural cooperative medical information system and those that are in demand for data exchanges. of the data code standards.
Catalog of data code specifications
Part VI: Specification of Statistical Indicators of the New Rural Cooperative Medical Information System