The Aim, Task and the Process of Informationization in Medical Health

1. The Aim, Task and the Process of Informationization in Medical Health

2. Central idea： The informationization in medical health Building the health mode for all people based on every individual and public. This includes the diagnosis, treatment ,nursingand other services. The way of implementation： Building the record which effectively and scientifically records the individual’s health condition (health/sub-health) and illness (physical/mental)in a standardized way covering all periods in his/her life from the birth till death.Appropriate and effective interference and care should be taken in terms of health condition. All sources of medical health, services and information are integrated，combining with data analysis and exploration to ensure the public health. Implementation methods：

3. Chinese Government October 2008《Suggestions for Further Reform of Medical Health Systems》Structure of medical health reform：4 systems and 8 areasFour Systems:1. Public health system 2. Health service system 3. Medical insurance system Eight Areas4.Medicine supply system 1. medical management 2. operational mechanism3. investment policy 4.price forming mechanism 5.supervision mechanism 6. information system 7. science and technology support 8. law systems

4. Important tasks： First, build a unified and standard national health record for urban and rural citizens. Second, build elementary structures and standard data of national electronic case history, giving clear definitions of them. • Three bases： Third, build a dictionary of national health information and data. Base on these，practical work done in many fields of medical health could be improved. The data collection, share and cooperation within different levels of systems can be implemented. 2. Three levels Case data platform facing citizens, including electronic case history, image report, abstract of health record, data communication center and regional health management and service platform； Urban level Facing general health management platform, including case index and system integration. Its main aim is to serve the management and decision making and social needs; Provincial level It is the national health management platform that mainly serves the management and decision making, source allocation, policy making, industry supervision, health evaluation and work assessment. National level

5. Problems needs to be solved： 1.All needs, contents, information, procedure, management and standardization in every field of medicine should be collected, analyzed and processed. 2. Solving problems such as where information from and how it comes; where information to be saved and how to save; who the owner and user of data are; data exploration and increment and third -party services and operation.

6. Ways to solve the problem Informationization of Regional Medical Health Public Health Record platform Regional Cooperative Medical and Health Service Center Public Health Record Support Platform Three Frameworks Three Models Business Framework Concept model 3D health management model Function model Information model System Framework Information Framework

7. Function model Y Data stream analysis Data model Data integration and standardization X New born Heath and Disease3 Health and Disease 1 Notes from health record Teenage Basic framework of health record Middle age Old Basic framework and data standard of health record Data standard of health record Life cycle Z Back Diagram 1, Concept model：3D health management model

8. The basic framework and data standard of the Health record Standard of electronic case history PACS standard DICOM standard Construction guide of regional health information platform Current work Ministry of Health： Five standards， one guide Plan for regional medical health Information(data) standardization Implementing the exchange of data and information The criterion and implementation of DICOM standard Ministry of Science and Technology： Demonstration of the information sharing service of regional cooperation in medical treatment

9. Classified Guide For people Full content Unified standards Clear key points Self-care Health related management Health related decision making High efficiency Three functions of health record： Three situations： Satisfying citizens’ needs in health Satisfying needs from providers of the medical health service Satisfying needs from managers of the medical health service Characteristics of the health record：

10. Hospital Family Mobile Phone DICOM Standard and its application Internet Phone Online appointment Community Separately capturing films/images Community hospitals villages and towns Services that have been implemented by DICOM standard：cooperation, share and service Service centers in villages, towns or communities purchase CR/DR equipment, only technicians are required，images are sent to central hospitals and analyzed by experts there. Reports of ultrasonic test can be sent to higher level hospitals for diagnosis. Collective diagnosis Sharing reports

11. Online Appointment, Separately Capture, Films/Images ，Collective Diagnosisand Share Reports The construction of Nanhai’s collective regional medical image information system project and central management platform are in 6 hospitals, which are：People’s hospital, Chinese medicine hospital, women and children hospital and care institute, Luocun hospital, Shatou hospital and Songang hospital The current situation of project construction is shown as following: 1.Rigional PACS system has been well used in People’s hospital, Chinese Medicine hospital, Luocun Hospital, Shatou hospital.Images and reports of PACS system are used and shared by clinical doctor workstations in In Patient and clinic department. 2.Images and reports from PACS system in individual hospitals are saved collectively, the construction of collective data center of regional images is completed. 3,Images and reports from PACS system and e-case history can be transferred between hospitals by Nanhai’s “One card pass" project

12. Nanhai Health Hospital

13. Nanhai hospital, Southern Medical University

14. Hospital of Integrated Traditional and Western Medicine of Guangdong Province

15. Songgang Hospital

16. Nanhai District of Women and Children Hospital and Health institute

17. 罗 村 医 院 Luocun Hospital

18. Shatou Branch Hospital of Integrated Traditional and Western Medicine of Guangdong Province

19. The case history of the patient in hospitals