The latest medical reform has sounded the clarion

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The "new medical reform" sounded the clarion call for the development of medical and health information in China

the new medical reform plan lists the establishment of a practical and shared medical and health information system as one of the eight pillars, and it is the only technical support. The only word can be said to mean far-reaching

after the promulgation of the new medical reform plan, solving the key and difficult points of China's medical informatization development has become the first shot to be fired in the medical reform work. How to formulate the basic theoretical framework and basic standard system of China's health information standard system? From the perspective of demand and application, what is the purpose of building and promoting the development of medical informatization in China? How can informatization truly serve the people? These are the key issues that Nao Keqin, director of the Informatization Leading Group Office of the Ministry of health, who has been paying attention to and committed to planning the informatization of China's medical industry, is currently concerned about. Among them, formulating the development plan of medical informatization in the next 5 to 10 years and establishing and improving the implementation of health records and electronic medical records will become the focus of this year's informatization work

The medical and health sector has become a new economic growth point. Rao Keqin believes that the new medical reform plan puts forward clear requirements for the informatization construction in the medical and health sector, which is the first time in years that the CPC Central Committee and the State Council have put forward such specific and detailed goals and requirements for a certain field, and its importance can be seen in general. In fact, as far as the global field is concerned, the high-performance modified nylon products produced by information construction companies in the medical and health field are fully used in the construction of China's first railway express passenger dedicated line - Qinhuangdao Shenyang passenger dedicated line, which has become one of the key tasks concerned by the heads of state, and even become another competitive focus for them to strengthen economic development, expand domestic demand, promote industrial development, and enhance comprehensive national strength

as far as China is concerned, it can be highly summarized in 16 words, namely: efficient and unified, system integration, interconnection and information sharing. These 16 words have basically become the ultimate goal of medical information construction in the world and industry. Rao Keqin believes that the requirements and standards for information sharing are the most critical. He explained that the goal and core of information construction is to realize information sharing. At present, the industries that can achieve information sharing are still concentrated in the banking industry with relatively simple business data structure. Rao Keqin explained that, compared with the medical and health industry with tens of thousands of diseases, more than 170000 drug trade names, 1.25 million medical terms, and a large number of image data, the difficulty and complexity of information sharing are obviously several times that of the financial industry represented by banks

therefore, Rao Keqin believes that the construction ideas and planning of future informatization should focus on three key points, including: laying three foundations, building three-level platforms, and improving business application systems. The difficulty is to start with the demand, take the realization of the basic demand of people-oriented as the starting point, and implement it step by step in a step-by-step and planned way. Among them, the three foundations are: standardized resident health records, the basic framework of national electronic medical records, and health information standards and data dictionaries. He further explained that we need to constantly strengthen the research on the standards and norms of residents' health records, develop and formulate unified standards and norms of residents' health records that meet the needs of all aspects; We should study and formulate the basic contents and application norms of electronic medical records suitable for the characteristics of Chinese traditional and Western medicine; More importantly, we should speed up the formulation of health information standards and norms, determine the data sets and metadata of various business areas, extract common data elements, form a data dictionary, and realize the basis of information exchange between different business systems. The three-level platforms are municipal, provincial and national platforms; We should strengthen and improve the information network foundation through the construction of these platforms. Moreover, the division of work and tasks of platforms at all levels are different. Municipal platforms mainly include case data and management centers (health records, electronic medical record summaries); Provincial and national platforms are comprehensive management platforms, which cover different contents, such as case indexing, system integration, serving management decisions and social needs, accessing municipal platforms, and realizing regional information sharing; Information resource database and multi subject database serve national management decision-making, health evaluation, performance appraisal, industry supervision, policy-making, etc

electronic medical record of health records has become the focus.

in 2010, medical informatization, adhering to the specific guidance of the new medical reform plan, began to enter a more in-depth critical stage. It must be mentioned that in 2010, the two key tasks of informatization construction in the field of medical and health care in China are to formulate and improve the development plan of medical informatization in the next 5 to 10 years, and to promote health records and electronic medical records

the regional health information platform based on health records is the core of the construction of medical and health information. It is the supporting platform for the whole regional medical and health service institutions to realize information sharing and exchange, process integration and collaboration, resource management and allocation, business supervision and assessment. It is the supporting platform for building a unified resident health record in the whole region and even the whole country, and promoting and supporting the reform of the medical and health system. Among them, for the establishment of health records, Rao Keqin believes that the first thing to clarify is to establish health data files for every citizen from birth to hospice care, which are all recorded and presented in the form of electronic data

to meet the above standards, Rao Keqin believes that there are three key changes. In terms of construction objectives, we must change from the previous enterprise represented by hospitals to the construction idea of people-oriented and people-oriented units. The purpose of building medical and health informatization is to serve users, that is, ordinary people, rather than simply competition in the medical industry. In terms of technology, most of the traditional medical and health fields actively promote the development of the industry through it technology. It seems that behind the prosperity is the failure to solve the practical application problems of patients from the perspective of demand. Obviously, this idea is no longer feasible. IT manufacturers must start from understanding the business knowledge of the medical industry. In this regard, the communication and Internet industry has certain advantages, which will affect the normal installation of equipment. Finally, middleware technology. At present, many domestic middleware manufacturers engaged in information exchange make use of the data standards that have not been standardized in the industry to make profits wantonly. Taking Canada as an example, using point-to-point middleware technology to realize the information exchange of 2000 doctors and patients requires us $2trillion. If we put this figure in China, which has a population of 1.5 billion, it will be a huge income. However, these technologies can not solve the practical problems we encounter. It is to treat the table rather than the root cause. Only by establishing a unified standard of data elements from the source can information sharing be achieved most accurately and economically

the realization of regional medical system from point to area

in the past information construction in the field of medical and health in China, most of them are integrated and developed vertically, and the new goal must realize flat development. Therefore, regional information platform has become a key measure to promote the overall development of informatization in the medical industry. In 2009, the state has implemented multiple regional medical and health system pilots in major first tier cities across the country, including Xiamen in Fujian and Zhabei District in Shanghai. The purpose is to realize the landing inspection of the specified standards and plans

for example, the health information system of Xiamen demonstration area is a regional comprehensive medical and health information service platform, which takes the public health management as the main line, the establishment of residents' electronic health records as the core, and the computer and network management as the technical support, covering public health information system, digital hospital, community health service information system, health decision information system, etc. In 2008, the health information system of Xiamen demonstration zone was put into trial operation in 36 medical institutions in Xiamen. In the past year, the system has established 930000 personal official health records for patients, and only the diagnosis and treatment results are shared, saving 21million yuan in the costs of repeated examination, filming, flushing, printing and so on

In this regard, Rao Keqin commented that the feasibility of regional medical treatment has been actually verified. In the next work, this plan will also receive more investment and expand its scale. In 2010, hundreds of millions of yuan will also be invested in the construction of national key engineering projects with provinces as units, mainly for the pilot work of realizing modularization and large-scale for the regional medical cities that have been successfully built. However, for the overall investment, Rao Keqin said that the time is not yet ripe, and IT enterprises' understanding of industry needs and business is not thorough enough. The informatization construction of the medical and health industry will disrupt the layout of the original IT enterprises and give more manufacturers opportunities. At the same time, the development of it in the medical and health sector will be an open environment affected by its industry characteristics, which requires more technology to join, rather than the traditional monopoly development model. Hu Jianping, director of the Department of standards and specifications of the statistical information center of the Ministry of health, also added that the construction of a unified regional medical platform is conducive to the construction of a standardized model of the industry from technology to management services, and plays a great exemplary role in realizing the information sharing of the whole industry

one thing that cannot be ignored is that for some provinces with underdeveloped economic and technological capabilities, it needs the support of other provinces and cities and even enterprises with economic and technological capabilities. In other words, it requires the integration of social resources. Rao Keqin said earnestly: some large enterprises can build application platforms for the government in line with the medical industry as industry leaders. Taking China Mobile as an example, it can completely help some provinces and cities establish corresponding regional platforms for the government to use, and then obtain the benefits of value-added services from the platform services. This will be once and for all and has practical significance. Unfortunately, many enterprises with these capabilities have not seen the huge social benefits of this project

after it did not coincide with the main target, Rao Keqin pointed out that at present, the relationship between the Ministry of health and it manufacturers has changed from simply following the plan of the project implementer to the relationship between the former providing the design and the latter implementing it. Therefore, whether it manufacturers can catch up with the technical standards required by the designers as soon as possible will be another severe test for promoting the development of informatization in the field of comprehensive medical and health care in China. This competition is bound to intensify in the process

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