Second, 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, it is necessary to formulate a standard information exchange format; Provide conversion means to convert information into standard exchange format for transmission on the network or storage in removable media, and vice versa. Related to the above work is the need to formulate a series of standards and specifications, introduce HL7 standard, and conduct localization research. This work needs the active organization of the relevant state departments and the cooperation of information technology personnel, clinical workers and hospital managers.
Thirdly, the security mechanism of health records, because it records a large number of basic and private information of residents, its security control is particularly important. Ju Mang Science and Technology adopts B/S architecture, including Cookie encryption, URL random code, preventing SQL code injection and other technologies to prevent information leakage.
The software and hardware technologies to realize the large-scale popularization of residents' health records are basically available. In developed countries, such as the United States and Japan, many universities, research institutions and manufacturers are committed to research in this field. Although it may take a long time to complete. However, we seized the opportunity to establish the framework of residents' health records in China, which laid the foundation for the further development of hospital information system to clinical application and three-level prevention and treatment measures. The Guiding Opinions of the Ministry of Health on Regulating the Management of Urban and Rural Residents' Health Records issued by the Ministry of Health on February 3, 2009 pointed out that the goal of establishing urban and rural residents' health records is to gradually establish residents' health records throughout the country and implement standardized management from 2009. By the end of 2009, according to the requirements of establishing residents' health records in a unified way throughout the country, the filing rate of rural residents' health records in pilot areas will reach 5%, and that of urban residents' health records will reach 30%; By 20 1 1, 30% in rural areas and 50% in cities. By 2020, a unified, scientific and standardized health record establishment, use and management system covering urban and rural residents will be initially established, which is in line with the reality at the grassroots level. Taking health records as the carrier, we will better provide sustained, comprehensive, appropriate and economical public health services and basic medical services for urban and rural residents.
At present, it is quite difficult to collect residents' health records because of the backward medical equipment and low level of informatization in rural areas of China. The accuracy and validity of the data are low, which also greatly occupies the working time of primary doctors.
In order to solve this problem, Nuohe Nuotai Company has developed a portable health file data acquisition device based on Nuoan remote health management system, which can be used to realize the automatic collection of residents' health files. Convenient to carry, simple to use, safe and hygienic. Using Bluetooth automatic transmission technology, residents' health files can be established accurately and quickly, repeated collection of health data can be realized, death files can be made alive, detection data can be analyzed, and chronic disease screening management can be realized.
On October 29th, 2065438+200365438+/KLOC-0, Jilin Health Information Society organized experts to demonstrate the self-service collection system of residents' health records. And distributed in the form of red-headed documents.
Experts attending the demonstration meeting include Liu Zhenping, chairman of Shandong Nuohe Nuotai Group, He Zhiyuan, vice chairman of Jilin Health Information Society, and Professor Li Dechang, doctoral supervisor of Computer College of Jilin University. Tong, deputy head of the project team, and Zhan Kewei, executive vice president of Jilin Information Society, are doctors; Members of the project expert group and the chairman of Jilin Health Information Society attended the demonstration meeting.
The demonstration meeting was presided over by He Zhiyuan and Janko respectively. At the beginning of the meeting, Secretary-General He Zhiyuan introduced the participating experts; Subsequently, we listened to the introduction of senior engineer Liu Zhenping, Chairman of Shandong Nuohe Nuotai, on the development, promotion and application of Nuoan remote resident health card support system. Experts attending the meeting asked and commented on the relevant technical links, technical parameters and related technical problems of the support system.
Experts believe that the Nuoan remote resident health card support system conforms to the relevant technical standards required by the Guiding Opinions of the Ministry of Health on Standardizing the Management of Urban and Rural Residents' Health Records, the National Basic Public Health Service Standard and the "352 1" project, with a solid cloud storage platform as the data architecture, various network transmission modes, based on the North American medical information evaluation model, and equipped with a variety of convenient monitoring terminals.
In the past three years, the system has been applied hundreds of thousands of times in 24 counties and cities such as Shandong and Henan. Experts believe that the project involves three major software systems, such as the remote resident health card support system and the whole screening management system, as well as a series of completed products such as Nuoan remote resident health file collection box and resident health file all-in-one machine. Through application observation, experts agree that the system is currently at the leading level in China, filling the gap in the application support and related functions of residents' health cards in China, and the project can be used in all provinces. Residents' health records are uniformly coded by the state, adopting the 17-bit coding system, and taking the resident ID number as the unified identification code, which lays a foundation for realizing resource sharing under the information platform.
How to compile 17 bit coding system?
The first paragraph is 6 digits, indicating the administrative divisions at or above the county level, and the Code of Administrative Divisions of the People's Republic of China (GB 2260) is uniformly used;
The second paragraph is 3 digits, indicating the administrative divisions at the township (street) level, in accordance with the national standard "Coding Rules for Administrative Divisions Below the County Level" (GB/T1014-2003);
The third paragraph consists of three figures, indicating village (neighborhood) committees, etc. , divided into: neighborhood committee 00 1-099, village committee10/-kloc-0/99, other organizations 901-999;
The fourth paragraph is 5 digits, indicating the individual serial number of residents, which is compiled by the filing institution in the order of filing.