Our country is a disease burden countries. In recent years, with the development of economic globalization and China's industrialization, urbanization and environmental change, affect the health of more and more factors; population aging, changes in disease spectrum, further aggravating the burden of disease. To resolve the outstanding problems, must take the Scientific Outlook on Development as guidance, with information as the means, the full implementation of the prevention of each intervention. In twenty-first Century the medicine will turn to holistic medicine from allopathic medicine, from a focus on disease treatment advancement to the whole life of health monitoring, disease control, prevention, prevention of disease. Premier Wen pointed out in the "government work report": "in the medical and health system reform has a bearing on people's health rights and interests, we need to strengthen leadership, careful design, careful organization, and actively and steadily push forward, cogent solve your doctor, the doctor difficult problem, to provide safe, effective, convenient, affordable medical and health services for the masses of the people." Three years, the central government to the health investment 850000000000. Chinese medical and health information is facing the hitherto unknown, favorable policy environment and financial environment, the hospital information to regional health informatization, opportunities and challenges coexist. Medical and health information is an inevitable trend of health modernization, health file sharing is one of the key medical and health information, but also to improve the health service, and promote the health of the people, the most inclusive and cost-effective measures. The new medical reform program not only clear the goal and direction of the future, the most important is in every link of informatization construction and information technology has put forward higher requirements. Pointed out that the new medical reform program: "to the public health, medical, health care, pharmaceuticals, financial supervision and information as the key point, disease control network as the main body, the hospital management and electronic medical records and resident health archives as the core, the formation of the national, provincial, city level three drug monitoring, drug testing, drug adverse reaction monitoring information network, gradually to establish the platform of medical information system with high efficiency, resource integration, information sharing, interoperability, transparent, easy to use, real-time supervision." The new medical reform is facing challenges. Difficulty: medical and health resources grossly inadequate, and this problem can't be solved in the near future. Expensive: the health service costs rising, poverty, poverty phenomenon more prominent. Aging: medical and health services in the grim situation, Shanghai in 2009, 60 years old and above 22% of the total population, the elderly after more medical services more heavy burden. Medical quality: due to the complexity of health services, medical accident, medical dispute more. Proposed the "eight - column four - beam" scheme, technology "column has a very important information". Information technology is to promote a profound medical industry revolution, informatization is necessary to deepen the reform and development of health care. China already has the basis and conditions to speed up the informatization, informatization is a strategic measure modernization of national health care, medical and health information has a long way to go.
Book by national science and technology projects, national "eleven five" science and technology support program, Ministry of science and technology major science and technology support program and the national high technology research and development program (863 Program) project as the main line, summarize the medical and health information, regional health informatization, medical and health service information and hospital information construction experience and lessons learned, development the trend and Prospect of China's medical and health information. This book is suitable for all kinds of readers, including health information manager, design andManagement personnel, research on medical related professional undergraduate, graduate, doctors, teachers and researchers.
The first chapter of national population health science data sharing platform 1.1 and platform 1.2 scientific data resources overview 1.3 platform architecture 1.4 platform management architecture 1.5 to promote the scientific data resources opening and sharing the 1.6 the second chapter forecast of China's public health information development and Prospect of 2.12003 years after China's public health information mainly in 2.2 China disease prevention and control information system construction of 2.3 health information standards development progress in 2.4 residents electronic health records and regional health informatization construction progress of the 2.5 problems and challenges of the 2.6 China's public health information development vision third chapter Chinese medicine health informatization progress and Prospect of 3.1 TCM clinical research information integration system 3.2 TCM clinical randomized and clinical data management system of digitalization of TCM ancient books of traditional Chinese medicine 3.3 project 3.4 medicine science data network and data sharing platform construction in the city community health informatization in fourth chapter 4.1 introduction 4.2 city community health information construction required 4.3 city community health informatization construction background of Changning District 4.4 community health information construction status and effectiveness of 4.5 The general situation of Changning District community health information on the practice and Prospect of the fifth chapter Chinese rural health information 5.1 introduction 5.2 comprehensive rural informatization 5.3 rural medical information construction of the main objectives of the 5.4 national health security integrated information service to realize rural health informatization construction of Hebei Province in 5.6 of 5.5 major achievements of health information 5.7 China national health information in the 5.8 world health information in sixth chapter hospital group information (Digital Hospital) 6.1 introduction 6.2 group hospital information construction development and organizational development in 6.3 Ruijin hospital information construction and problems of 6.4 practice regional medical informatization hospital group based on the research conclusion and Prospect of the 6.5 chapter seventh introduction 7.1 project construction and cooperative medical service demonstration project 7.2 architecture of 7.3 standard and the 7.4 data center design 7.5 basic concept in the construction of the eighth chapter of electronic medical record sharing design platform for the development of the typical service 7.6 telemedicine interactive platform 7.7 regional medical information system 8.1 introduction 8.2 electronic medical records of 8.3 foreign electronic medical records based on current development Like the 8.4 domestic electronic medical record develops the current situation 8.5 electronic medical record information model of the ninth chapter of electronic health records of 9.1 basic concepts 9.2 of our personal health records of 9.3 of our personal health archives construction analysis of 9.4 typical cases of the current personal health archives construction problems and Countermeasures of electronic health records of 9.5 foreign construction experience 9.6 personal health records development in tenth chapter health file sharing and personal health records 10.1 health files overview 10.2 health records the development history and classification of 10.3 health record standard 10.4 health file sharing 10.5 health awareness and quality of the 10.6 personal health records the eleventh chapter medical imaging standard and sharing 11.1 medical imaging based on 11.2 digital medical image communication standard (DICOM) 11.3 medical image the transmission and storage system (PACS) the twelfth chapter XML tree structure data element data structure of DICOM XML 12.1 XML 12.2 DICOM 12.3 DICOM 12.4 DICOM XML data model, the thirteenth chapter sharing of medical information and clinical decision support 13.1 introduction 13.2 overview 13.3 based on the HL7 CDA medical document sharing and based on Exchange of 13.4 clinical trial data collected from 13.5 medical information data mining of 13.6 medical document structured 13.7 clinical decision support 13.8 clinical expert consultation system of 13.9 clinical information sharing and decision support platform of integration in the implementation of the project to declare the 13.10 part of the patent 13.11 project part of the development of clinical information sharing and decision support software 13.12 fourteenth chapter gives the summary and prospects of genetic information and personalized medicine 14.1 introduction 14.2 overview 14.3 diseases and genes related to diseases of the data integration platform 14.4 personalized medicine, 14.5 HNPCC in early diagnosis of 14.6 major diseases of literature annotation and data mining 14.7 mutation data integration 14.8 Chinese diabetes susceptibility genes of the fifteenth chapter 14.9 summary and Prospect of telemedicine 15.1 remote medicine of 15.2 remote medical technology 15.3 distance medical treatment application of 15.4 remote medical application of 15.5 remote medical problems related to 15.6 remote medical progress
Illustration: current management between medical institutions in China division, basic is the act of one's own free will. Taking Shapingba District of Chongqing city as an example, the area within the scope of Southwest Hospital, Xinqiao Hospital, unit in charge of Health Department of the General Logistics Department; Chongqing municipal public health center, Chongqing Cancer Hospital, director unit of the Chongqing Municipal Health Bureau; Shapingba also has the district hospitals and community health service center, unit in charge of Shapingba District Public Health Bureau; by the Shapingba district health bureaus and numerous private hospital. In addition to the hospital, blood bank, 120 command center, maternal and child health centers also respectively belong to different departments, this kind of management pattern blocks regional shared health information, also hindered the individuals in different medical institutions of medical information summary. "The new medical reform program proposed in the" hospital "territorial management", the purpose is to integrate regional medical resources by region. In this case, a variety of established throughout the regional health information platform personal health records for most in a department lead based, most of the city (District) to lead the Health Bureau, city (District) is connected to the medical and health institutions, and medical and health institutions in the jurisdiction of other departments are not then the regional health information platform. Fortunately, the health management institutions in China have been aware of this problem, and carried out the experiment, such as the Xiamen demonstration zone will pick up the medical and health institutions, local grass-roots army, different types of different grades, "Sandy platform" will also belong to the health department of General Logistics Director of Southwest Hospital access to the platform, and actively preparing to access the Chongqing public health center, Xinqiao Hospital and other non centralized to the medical and health institutions in health bureau. From the development trend, the construction of regional health information platform in China has embarked on a broad road, towards a wide coverage of the direction of development. But at the same time, we should also see, the scale of regional health information platform has been built is not big enough, connected to the medical institution type is relatively single, the majority concentrated in hospitals, health centers and community health service centers, and blood centers, rehabilitation centers, medical centers, private hospitals and other access platform for regional work have not yet put on the agenda, and American experience shows, PHR scale of data center is the key to PHR application sharing benefits. In the PHR acquisition of the information point of view, the current information sharing more concentrated in the medical information especially home, out of hospital records, prescription, prescription, examination of objective medical records content, but also more of a variety of physiological and biochemical indexes in the prediction of disease, and the course of disease, diagnosis and treatment of superior record, the ward rounds. The subjective medical records sharing is not involved, personal habits, such as smoking and drinking only relates to traditional content, and eating habits, the daily amount of exercise, mental health on the occurrence and development of chronic diseases have an important impact index also far not included in the PHR information collection category.
"Progress" China medical and health information is published by Shanghai Jiao Tong University press.
Medical Science @ 2017