Public Health Universal Health Examination Information System
I. Background
Adhering to the policy of health and health work in the new era, focusing on the construction of "Healthy China", the comprehensive implementation of the universal health examination work, to grasp the health status of all types of populations, screening related diseases, the formulation of preventive and control measures, and to promote the transformation of "disease-centered" to "health-centered", to further improve the level of health of all people. The "disease-centered" to "health-centered" transformation, and further improve the health of the entire population.
Through the national health checkup, expanding the masses' understanding of their own physical condition, generally accepting health knowledge education, and achieving early detection, diagnosis, and treatment of diseases; at the same time, further enhancing the capacity of grassroots basic public **** health services, improving the residents' electronic health records, comprehensively grasping the health status of all types of populations, and formulating scientific intervention strategies and countermeasures to enable urban and rural residents to enjoy the health Benefiting the people to bring dividends, to realize the city's urban and rural residents health checkups full coverage, the participating residents health file construction rate of 100%.
Through the national health checkup, expanding the general public's understanding of their own physical condition, generally accepting health knowledge education, early detection, early diagnosis and early treatment of diseases; at the same time, to further enhance the grassroots basic public **** health service capacity, improve the residents' electronic health records, a comprehensive grasp of all types of people's health status, and the development of scientific intervention strategies and countermeasures to allow urban and rural residents to enjoy the dividends of health benefits, the city's urban and rural residents to enjoy the benefits of the people. Health Beneficial to the people to bring dividends, to achieve the city's urban and rural residents health checkups full coverage, the health file of the residents participating in the examination rate of 100%, through the physical examination of the newly discovered chronic disease patients management rate of 100%.
Second, the functional overview
1, the establishment of universal health examination management platform, the realization of the unified development of physical examination standards, the unified development of physical examination packages, the unified development of physical examination project fees, etc., the physical examination institutions centralized planning and scheduling, able to realize the universal health checkups, outpatient self-funded physical examination, public health checkups and other businesses.
2. Establishing a medical examination business information system covering the whole region, realizing the full coverage of medical examination business in the hospital, and improving the quality of medical examination service and quality control standards.
3. Establishment of a unified regional deployment of interactive applications of the system (HIS\LIS\PACS\Cardiology System\Hospital Integrated Interaction Platform), the establishment of a standardized and standardized data interaction system as well as an early warning system for abnormal data.
4, the establishment of various types of service population complete basic information, physical examination data and management analysis and other functional modules, the population health status of professional analysis.
5. Establishing a unified business system for each medical checkup center, the medical checkup data will be interacted with the universal health checkup management platform, and based on this, the data will be distributed to regional health information platforms, provincial and municipal exchange platforms, and a unified way of external display will be established, which can realize self-releasing and third-party application access for display.
Three functional modules
1. Standardized information management
Establishment of residents' personal files: uniquely identifying residents and establishing personal health files, and unified management of health-related data generated by residents in different medical institutions; support for real-time registration of individual data, automatic registration of batch data, and also manual processing
Institutions Unified management of equipment: support the registration and management services for medical and health institutions, administrative divisions, instruments and equipment, medical and health personnel, etc., providing unique identification and unified management of these entities
Unified management of dictionaries and terminology: classify and standardize the format of medical checkups and medical information resources around the world according to a unified set of standard specifications; real-time updating of dictionaries and terminology, which can be queried online
2. Package and item formulation
Package and item formulation: the platform realizes the unified formulation and maintenance of different medical check-up packages and corresponding medical check-up items for each medical check-up business, and the management agencies can add, modify or deactivate the packages
Package and item release: after the package contents are set up, it is released by the platform to the medical check-up software system uniformly, and medical check-up agencies can not add or modify the package contents in the medical check-up software. The physical examination organizations can not add or modify the package contents in the physical examination software. If the medical checkup personnel have special needs, they can add items on the basis of the package
3. Management of medical checkup personnel
Management of medical checkup personnel list: to realize the management of the list of medical checkup personnel in the region, which can be provided by the social security or other systems with docking interfaces to realize the transmission of data; and it can be sorted out into an Excel list and batch-imported into the platform of universal health checkup
Handbook for medical checkup data: the physical checkup business activities carried out in the hospitals of the institutions will be carried out in the platform of the medical checkup software system. Institutions carry out physical examination business activities in the hospital, after completing the physical examination, the physical examination data is automatically collected into the platform
Continuous physical examination files: when querying personal files, the system automatically groups all types of physical examination files of the person at different times and places together to form a continuous physical examination file
Management of the group examination unit: with the unit's social credit code as the unique identification, the unit information and its corresponding examinee through the The information of the unit is associated with its corresponding examinee, and the archival management of each unit is carried out
4. Comprehensive analysis and decision-making services
Query of medical examination information: each medical institution can screen out the medical examination report of a certain person by inputting the medical examination number, cell phone number, or ID card number, etc., into the screening column, and preview the report of the examinee's pdf format on the line; set up the management of the medical institution's privileged personnel.
Medical examination data analysis: summary analysis of health examination data platform data, including the distribution of medical examination personnel, the distribution of disease personnel, the distribution of disease incidence statistics
Health assessment:? Analyzing and assessing the health status of residents in the jurisdiction and analyzing related risk factors in order to take preventive measures and control the occurrence and development of diseases
Operational analysis: realizing the statistics of monthly, quarterly and annual medical checkup charges, medical checkups, and medical checkup package cost information of each grassroots institution
5. Information dissemination and push
Personal health report query: Residents can inquire about the health report through the web portal, mobile APP provided by the platform, or through the mobile phone APP, which is available on the website. The portal website, mobile APP, WeChat public number and other channels provided by the platform can be used to query personal physical examination reports or electronic health records after real-name verification through ID cards
Dietary guidance: to clarify the dietary rules for different diseases and different physical conditions, to provide targeted and personalized dietary guidance for medical check-ups for the residents as well as to provide guidance for specific groups of people
Chinese medical treatment of unhealed illnesses guidance: Provide residents with a variety of health knowledge such as disease prevention and health care guidelines, knowledge of prevention of diseases that occur in various seasons, simple prescriptions, and general knowledge of public health
Chronic Disease Management: Provide residents with information on intervention programs for chronic diseases such as high blood pressure, type II diabetes, and other information through a variety of channels such as portal websites, cell phone APPs, and WeChat public number
Health Education: Provide residents with health education services, including universal education, to help them understand the importance of health education and to help them understand the importance of health education. Health education services, including universal education and popularization of science for specific target groups (such as chronic diseases, mental illness, infectious diseases, women and children, the elderly, etc.)
6. Remote consultation
Grade-level medical examination centers can initiate remote consultation requests to the next level of hospitals for difficult and complicated cases that can not be resolved, and the higher level hospitals will give guidance or advice through the understanding of the results of the medical examination. Recommendations
7. Quality control management and assessment of medical institutions
Quality control management: to realize the work quality sampling (e.g., registration, filling out specifications, etc.), management control, etc., of the primary physical examination centers by county and district medical institutions
Settlement of funds for physical examination: to summarize the funds for physical examination on a monthly basis based on the data of physical examination packages, physical examination items, and the number of people who actually had physical examinations.
Performance assessment: monthly assessment, quarterly assessment, annual assessment of the medical examination centers, focusing on the assessment of the total number of indicators are the number of medical examinations and medical examination coverage; quality indicators are the rate of detection of major diseases, the rate of residents' health records filed, the rate of timely feedback of the results of the medical examination; satisfaction indicators are the rate of satisfaction of the medical examination object, the rate of the public complaints in place, etc.
Four, the medical examination organization information system Module
1. Basic Information Technology
Centralized Deployment: The system adopts a centralized deployment mode, deployed in a central database, and adopts a unified standard, a unified process, a unified specification, and a unified report format in the whole region
Data Interoperability and Interconnectivity: Each medical checkup center connects to the data center through the dedicated network to achieve unified data storage and interoperability
Automatic Obtaining residents' health examination files: Importing the personal health files of medical check-ups, realizing dynamic analysis of the physical health status of the examinees, and carrying out comparison and intelligent reminder during medical check-ups
Automatically obtaining medical check-ups from the headquarter: Medical check-up packages, medical check-ups, charging standards, and medical check-ups are automatically obtained from the National Health Check-up Management System, and judging that medical check-ups are supported only once in a medical check-up cycle. Free medical checkup once
2. Pre-examination business
Medical checkup appointment: The medical checkup patient can choose the medical checkup package and make an appointment through the internet, kiosk, WeChat and other platforms, and the system automatically reads the appointment information, and the backstage can set up the number source in different time slots, which is convenient for controlling the flow of people
Personalized package customization: The medical checkup patient can realize the appointment of the medical checkup by paying attention to the WeChat public number of the medical checkup center. Pre-examination questionnaire and independent increase or decrease of items to achieve personalized physical examination package customization, epidemiological history questionnaire, etc.
3. In-examination business
Physical examination registration:
Quick registration: support for social security cards, ID cards, medical examination cards and other rapid scanning registration, support for sampling barcode management, sampling barcodes automatically identify the defined items and people
Appointment registration: Resident Through the network platform, WeChat, telephone and other forms of physical examination appointment, the system for personnel appointment registration, including: name, ID card number, physical examination package, physical examination time, etc.
Group examination registration: can be read through the social security card, ID card, manual registration, Excel and other ways to import the list of personnel; can be realized by personal check-in, batch check-in, print the information bar code and physical examination guide sheet
Guidance sheet, barcode printing: according to different packages, you can print out the corresponding medical checkup guidance sheet, barcode, and can go to different departments for itemized checkups; barcode replenishment system has been added to avoid the loss of customers in the process of medical checkupsCharge management
Medical checkup charges: according to the selection of medical checkup packages, you can process the detailed charges and print invoices, as well as carry out the daily settlement and monthly settlement of the charge office. The daily settlement, monthly settlement, refund and other processing of the fee office
Cost settlement: support for individual, unit fee settlement, invoicing, can generate different group settlement statistical reports, to prevent leakage
Doctor's desk
Through the scanning of the bar code and hand-recorded query to quickly find out the examined person's information, after the mouse clicks to record the results of the section of the medical examination, and the automatic formation of the section summary, provide modification, record the review information. Provide the function of modifying and recording the review information
Support seamless connection with third-party systems: It can realize seamless connection with LIS, PACS, network ECG system, blood biochemistry and other systems as well as relevant testing equipment to realize the automatic transmission of examination results and graphic reports, and finally generate a complete physical examination report
Automatic generation of summaries and concluding remarks: When the examination result is being recorded, it has the function of default for normal results and mouse clicking for abnormal results. It has normal result default, abnormal result mouse selection entry, abnormal result free combination selection entry, abnormal result code entry, numerical result limit value automatic determination, numerical result high and low automatic prompt, positive result automatic calibration
Diagnostic reminder: If you find that the medical examiner has an abnormality, you can set up the diagnostic reminder to support the reminder function of the @specified doctor. If the doctor finds a problem during the internal medicine examination, but cannot diagnose it conclusively, he/she can set a reminder message to remind other departments to focus on precautions during the examination, and will be prompted by a pop-up window
Previous results references and comparisons: The departmental doctor can conveniently and quickly call up the results of the medical examiner's previous medical examinations, which can be compared with the results of the current one, and assist the medical examiner in writing the medical examination summary
Automatic Setting up omission and refusal of examination: it has the functions of inspection and supervision and registration of refusal of examination, and provides a variety of query reports for checking the unchecked persons and unchecked items: and it can also record the items of refusal of examination
Reexamination registration: according to the actual situation of the medical checkups, the system can carry out registration of reexamination, record the items of reexamination, the time and the reason, and generate the reexamination application for the chief doctor to carry out the examination for the complexity of the necessity of the examination
Health Assessment: The system provides individual health checkup reports and group health checkup summary analysis reports, and individual health checkup health assessment reports can be realized according to the demand
Total checkup workstation
Master checkup audit: automatically generate total checkup overview and recommendations, provide modification functions, and add final review process management after completing total checkup
Three-level audit quality management: free and flexible three-level audit ( The hospital can freely control the opening and closing of the preliminary and final review processes
Access to examination results and imaging reports: During the general examination, the general practitioner can conveniently and quickly access the detailed results of the medical examiner's various departments and imaging results in the general examination interface, and then check them again to realize the quality control of the medical examination
Undoing and redoing: The general examination can be withdrawn and redone with the complete function of undoing and redoing. The function of undoing and redoing the total examination is complete. Before the total examination is undone, it prevents the arbitrary modification of the result value of the detailed items of the physical examination, and when the total examination is redone, it can list the changes in a conspicuous way
Knowledge base
To realize the unification and standardization of the words used by doctors; the built-in words are more than 5,000 entries; the knowledge-based and intelligent expert words can be used for the use of the veteran experts of the physical examination center, which can provide the operation convenience with the zero-entry of Chinese characters, and provide the regular input of Chinese characters, which is convenient to operate. The software also provides regular updating service for the entries. At the same time, the software has more than 5,000 built-in explanations of diseases, explaining the diseases in easy-to-understand language and generating medical reports with explanations of diseases to assist the medical examiners in reading and understanding the medical reports.
Physical examination report
WORD report customization: support word report customization block, can be edited, added, and a number of sets of standard modules, can be personal physical examination results export EXCEL, PDF, WORD electronic documents; group summary report export PDF or WORD version of the report
Report review and printing: the report out of each section of the department can be audited, summary can be carried out. Can be audited, summary can be audited, the completion of the total inspection can be audited; can quickly retrieve the unit or individual physical examination report, preview, print, support for a single print and batch print
Critical value management
Major risk indicators found in the physical examination, the entire examination department to start the early warning mechanism, causing the hospital to pay close attention to the doctor's physical examination. Doctors in the examination department can set the crisis value according to the examination program of this department. When the guests go to other departments for checkups, they will be warned. Thus, the crisis value can be reminded, warned, tracked, handled, and counted.
Rich Reporting Functions
With a rich variety of query reports, including analysis reports for medical examination units, various workload reports for medical examination centers, and fee reports for finance
Post-examination Business
SMS Sending Platform: Directional SMS can be sent to send customized SMS, such as notification of review, notification of collection of medical examination reports, and holiday blessings. Template content
Mobile phone/website report checking: provide website, APP, WeChat public number to query medical checkup report, online consultation with doctors, health management, etc.
Through the construction of health checkup information system, it realizes the simplicity, standardization, modularization, and integration of various business work of national health checkups and guarantees the security and stability of the information system to ensure that health informatization construction can be achieved at a lower cost and with a higher degree of flexibility. flexibility to ensure the sustainable development of health informatization construction, and the information system should be in line with the technical specifications of the provincial regional information platform, etc.
Text source: Apricot Seven Sages: Web link