What is the public health examination system?

Public health national health examination information system

I. Background

Adhere to the policy of health and wellness in the new era, focus on the construction of "healthy China", fully implement the national health examination, grasp the health status of all kinds of people, screen related diseases, formulate prevention and control measures, promote the transformation from "treatment-centered" to "health-centered", and further improve the national health level.

Expand people's understanding of their own physical condition through national health check-ups, generally accept health knowledge education, and realize early detection, early diagnosis and early treatment of diseases; At the same time, further improve the basic public health service capacity at the grass-roots level, improve the residents' electronic health records, comprehensively grasp the health status of all kinds of people, formulate scientific intervention strategies and countermeasures, so that urban and rural residents can enjoy the dividends brought by health and benefit the people, and realize the full coverage of health checkups for urban and rural residents in the city. The filing rate of residents' health records participating in the inspection is 100%.

Through the national health check-up, we will expand people's understanding of their own physical condition, generally accept health knowledge education, and achieve early detection, early diagnosis and early treatment of diseases; At the same time, further improve the basic public health service capacity at the grass-roots level, improve the residents' electronic health records, comprehensively grasp the health status of all kinds of people, formulate scientific intervention strategies and countermeasures, so that urban and rural residents can enjoy the dividends brought by health and benefit the people, and realize the full coverage of health checkups for urban and rural residents in the city. The filing rate of health records of participating residents is 100%, and the management rate of patients with chronic diseases newly discovered in physical examination is 100%.

Second, the function overview

1. Establish a national health examination management platform, and realize the unified formulation of medical examination standards, medical examination packages and medical examination item fees. The centralized planning and scheduling of medical institutions can realize services such as national health examination, self-funded outpatient medical examination and public health examination.

2. Establish a medical examination business information system covering the whole region, realize the full coverage of medical examination business in the hospital, and improve the quality of medical examination service and quality control standards.

3. Establish a unified interactive application of regional deployment system (HIS\LIS\PACS\ ECG system \ hospital comprehensive interactive platform), and establish a standard data interactive system and an abnormal data early warning system.

4. Establish complete basic information, physical examination data, management analysis and other functional modules for all kinds of service groups, and conduct professional analysis on the health status of the population.

5. Establish a unified business system for each physical examination center and exchange physical examination data to the national health examination management platform. On this basis, the data will be distributed to the regional health information platform and various provincial and municipal exchange platforms, and a unified external display channel will be established, which can realize self-publishing and third-party application access display.

Third, the function module

1. information standardization management

Establish personal files of residents: uniquely identify the identity of residents, establish personal health files, and uniformly manage health-related data generated by residents in different medical institutions; Support real-time registration of single data, automatic registration of batch data and manual processing.

Unified management of institutions and equipment: support the registration management services of medical and health institutions, administrative divisions, instruments and equipment, medical and health personnel, etc. , and provide unique identification and unified management for these entities.

Unified management of dictionaries and terms: classify and standardize physical examination information resources in various places according to unified standards and norms; Real-time updating of dictionaries and terms, online query.

2. Packaging and project formulation

Package and project formulation: The platform realizes the unified formulation and maintenance of different medical examination packages and corresponding medical examination items for each medical examination business, and the management organization can add, modify or deactivate the packages.

Package and project release: after the package content is set, it will be released to the physical examination software system by the platform, and all physical examination institutions cannot add or modify the package content in the physical examination software. If the medical examiner has special needs, you can add items to the package.

3. Management of medical personnel

List of medical examiners: the list of medical examiners in this area can be managed, and social security or other systems can provide docking interfaces to realize data transmission; It can also be compiled into an Excel list and imported into the national health examination platform in batches.

Physical examination data collection: the institution carries out physical examination business activities in the hospital, and after the physical examination is completed, the physical examination data is automatically collected into the platform.

Continuous physical examination files: when querying personal files, the system will automatically access all kinds of physical examination files of the person at different times and places to form a continuous physical examination file.

Group inspection unit management: take the social credit code of the unit as the unique identifier, and associate the unit information with the corresponding inspected person, so as to archive the management of each unit.

4. Comprehensive analysis and decision-making services

Physical examination information inquiry: each medical institution can enter the physical examination number, mobile phone number or ID number in the screening column to screen out a person's physical examination report and preview the pdf report of the physical examination person online; Establishment of authorized personnel management in medical institutions

Physical examination data analysis: summarize and analyze the data of health examination data platform, including the distribution of physical examination personnel, the distribution of disease personnel and the statistics of disease incidence.

Health assessment:? Analyze and evaluate the health status of residents in the area, and analyze the related risk factors, so as to take preventive measures to control the occurrence and development of diseases.

Operational analysis: realize the statistics of monthly, quarterly and annual medical examination expenses, medical examination person-times and medical examination package expenses of grass-roots institutions.

5. Information release and push

Personal health report inquiry: residents can inquire about personal medical examination reports or electronic health records through various channels provided by the platform, such as portal website, mobile APP, WeChat official account, etc.

Dietary guidance: to clarify the dietary rules of different diseases and different physical conditions, and provide targeted personalized dietary guidance for physical examination residents to guide specific groups.

Guidance on prevention and treatment of diseases in traditional Chinese medicine: provide residents with a variety of health knowledge such as prevention and health care guide, prevention knowledge of frequently-occurring diseases in various seasons, simple prescriptions, public health knowledge and so on.

Chronic disease management: provide residents with information on intervention programs for chronic diseases such as hypertension and type II diabetes through portals, mobile apps and official WeChat accounts.

Health education: provide health education services for residents in the jurisdiction, including universal education and popular science education for specific target groups (such as chronic diseases, mental illness, infectious diseases, women and children, the elderly, etc.). ).

6. Remote consultation

The primary physical examination center can initiate a remote consultation request for intractable diseases to the superior hospital, which can give guidance or suggestions through the understanding of the physical examination results.

7. Quality control management and evaluation of medical institutions

Quality control management: realize spot check (such as registration, filling in specifications, etc.). ) and county-level medical institutions to manage and control the quality of work in primary health examination centers.

Settlement of medical examination funds: according to the medical examination package, medical examination items, actual medical examination number and other data, the medical examination funds are summarized every month.

Performance assessment: monthly, quarterly and annual assessments are conducted for each physical examination center, with the total number of physical examinations and physical examination coverage as key indicators; Quality indicators include the discovery rate of major diseases, the filing rate of residents' health records, and the timely feedback rate of physical examination results; Satisfaction indicators include the satisfaction rate of physical examination objects and the handling rate of complaints from the masses.

Four, medical institutions information system module

1. Basic Informatization

Centralized deployment: the system adopts centralized deployment mode with a central database for deployment, and the whole region adopts unified standards, processes, specifications and report formats.

Data interconnection: each physical examination center is connected with the data center through the private network to realize unified data storage and interconnection.

Automatic acquisition of residents' health examination files: import the personal health files of the examinee, realize the dynamic analysis of the examinee's physical health status, and make comparison and intelligent reminder during the medical examination.

Automatically obtain physical examination items from the headquarters: the medical examination package, medical examination items, charging standards and medical examination personnel list in the system are automatically obtained from the national health examination management system, and it is judged that medical examination personnel only support free medical examination once in a medical examination cycle.

2. Pre-inspection business

Physical examination appointment: Physical examination personnel can choose a physical examination package and make an appointment through the network, self-service machine, WeChat and other platforms. The system automatically reads the reservation information, and the number source of different time periods can be set in the background to facilitate the control of people flow.

Personalized package customization: Physical examiners can pay attention to WeChat official account in the physical examination center to make an appointment for physical examination, conduct questionnaire survey before physical examination independently, and customize personalized physical examination package and epidemiological history questionnaire by adding or subtracting items.

3. Inspection business

Physical examination registration:

Fast registration: support fast scanning registration of social security cards, ID cards and physical examination cards. , supports the management of sampling barcodes, and automatically identifies defined items and personnel.

Appointment registration: Residents make appointments for physical examination through online platform, WeChat and telephone, and the system makes appointments for personnel, including: name, ID number, medical examination package, medical examination time, etc.

Group inspection registration: personnel list can be imported by reading social security card, ID card, manual registration, EXCEL, etc. It can realize individual sign-in, batch sign-in, printing information bar code and physical examination guide sheet.

Printing of guide sheet and bar code: the corresponding guide sheet and bar code of physical examination can be printed according to different packages, and can be checked item by item in different departments; Add barcode re-entry system to avoid customer loss during physical examination.

Charge management

Medical examination fee: according to the choice of medical examination package, you can handle detailed charges, print invoices, and handle daily settlement, monthly settlement and refund at the toll booth.

Expense settlement: support individual and company expense settlement, issue invoices, and generate different group settlement statistics to prevent expense leakage.

The doctor's desk

Through bar code scanning and manual record query, the information of the inspected personnel can be quickly found, and the physical examination results of the department can be entered with a mouse click, and the department summary can be automatically formed, providing the function of modifying and recording the re-inspection information.

Support seamless connection with third-party systems: it can be seamlessly connected with LIS, PACS, network ECG system, blood biochemical analyzer and other related inspection equipment to realize automatic transmission of inspection results and graphic reports, and finally generate a complete physical examination report.

Automatically generate summary and summary: when entering inspection results, there are normal result default, abnormal result mouse selection release entry, abnormal result free combination selection entry, abnormal result code entry, numerical result limit automatic judgment, numerical result high and low automatic prompt and positive result automatic calibration.

Diagnostic reminder: If the medical examiner is found to have abnormal conditions, a diagnostic reminder can be set to support the reminder function of @ Designated Doctor. If the doctor finds a problem during the internal medicine examination, but can't diagnose it, he can set a reminder message to remind other departments of the matters needing attention during the examination, and a window will pop up to remind him.

Citation and comparison of previous results: the department doctor can conveniently and quickly call out the previous physical examination results of the medical examiner, and can compare them with the results of this physical examination to assist the medical examiner in writing the physical examination summary.

Automatic setting of missed inspection and rejected inspection: it has the functions of inspection supervision and rejected inspection registration, and provides a variety of inquiry reports, so as to inspect unqualified personnel and items and record rejected items.

Re-examination registration: Re-examination registration can be carried out according to the actual situation of the medical examiner, the items, time and reasons of re-examination can be recorded, and a re-examination application can be generated for the chief physician to conduct complex necessity audit.

Health assessment: the system provides personal health examination report and group health examination summary analysis report, and can realize personal health examination health assessment report according to requirements.

Universal inspection workstation

Main inspection audit: automatically generate the summary and suggestions of the general inspection, provide the modification function, and add the final inspection process management after the completion of the general inspection.

Three-level audit quality management: free and flexible three-level audit (preliminary examination, general examination and final examination), hospitals can have their own operating conditions and freely control the opening and closing of the preliminary examination and final examination processes.

Check the examination results and graphic reports: the chief physician can check the detailed results and image results of various departments of the physical examination conveniently and quickly in the general examination interface, and check again to realize the quality control of the physical examination.

Undo and Redo: It has a complete routine examination undo and redo function, which can prevent the result values of detailed physical examination items from being modified at will before the routine examination is cancelled, and the changed contents can be prominently listed when the routine examination is repeated.

knowledge base

Realize the unification and standardization of doctors' words; More than 5000 built-in items; Knowledge-based and intelligent expert entries can be used by the old experts in the physical examination center, which facilitates the zero input operation of Chinese characters and provides regular entry update services. At the same time, the software has built-in popular science descriptions of more than 5,000 diseases, explains diseases in easy-to-understand language, and generates physical examination reports with popular science descriptions to help medical examiners understand the physical examination reports.

Medical report

WORD report customization: supports word report customization, can be edited and added, has multiple sets of standard modules, and can export personal physical examination results to EXCEL, PDF and WORD electronic documents; Group summary report Export PDF or WORD version of the report.

Report review and printing: all departments can review reports, summaries and general inspections; Can quickly retrieve the physical examination report of the unit or individual, preview and print, and support sheet printing and batch print.

Critical value management

When major risk indicators are found in the physical examination, all inspection departments start the early warning mechanism, which attracts the attention of the physical examination personnel in the hospital. Laboratory doctors can set the crisis value according to the undergraduate examination items. Guests who go to other departments for inspection will be warned in advance. So as to realize the early warning, early warning, tracking, processing and statistics of the crisis value.

Rich report function

It has a wealth of inquiry reports, including the analysis report of the physical examination unit, the workload report of the physical examination center and the financial charge report.

Post-inspection service

Short message sending platform: it can send short messages directionally, such as self-defined short message template content such as review notice, medical report receiving notice and holiday blessing.

Mobile phone/website inspection report: provide website, APP, WeChat official account to check the physical examination report, consult doctors online and conduct health management.

Through the construction of health examination information system, we can realize the simplification, standardization, modularization and integration of all business work of health examination in China, ensure the safety and stability of information system, and ensure the sustainable development of health information construction with low cost and high flexibility. The information system shall conform to the technical specifications of the provincial regional information platform.

Source: Seven Sages of Xinglin: Web link