Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
The Aim, Task and the Process of
Informationization in Medical Health
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
The informationization in medical health
Building the health mode for all people based on every individual and public. This includes the diagnosis, treatment ,nursing and other services.
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.
Central idea :
The way of implementation :
Implementation methods :
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
Chinese Government October 2008 《 Suggestions for Further Reform of Medical Health Systems》
Structure of medical health reform : 4 systems and 8 areas
Four Systems:1. Public health system 2. Health service system 3. Medical insurance system Eight Areas4.Medicine supply system 1. medical management 2. operational mechanism 3. investment policy 4.price forming mechanism 5. supervision mechanism 6. information system 7. science and technology support 8. law systems
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
First, build a unified and standard national health record for urban and rural citizens.
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.
Important tasks :
Third, build a dictionary of national health information and data.
Second, build elementary structures and standard data of national electronic case history, giving clear definitions of them.
1. Three bases :
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
Provincial level
National level
2. Three levels
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;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.
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
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.
Problems needs to be solved :
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
Informationization ofRegional Medical
Health
Regional Cooperative Medical and Health Service
Center
Public HealthRecord platform
Public Health Record Support
PlatformThree Frameworks
Conceptmodel
3D health management
model
Function model
Informationmodel
Three Models
Business Framework
System Framework
Information Framework
Ways to solve the problem
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
Life cycle
Diagram 1, Concept modelDiagram 1, Concept model :: 3D health management model
OldMiddle age
Teenage
New born Notes from
health record
Z
Basic framework and data standard of health record
Heath and Disease3
Health and Disease 1
Data integration and
standardization
Data model
Basic framework of health record
Basic framework of health record
Data streamanalysis
Data standard of
health record
Data standard of
health record
YFunction model
X
Back
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
The basic framework and data standard of the
Health record
Standard of electronic case
history
PACS standardDICOM standard
Construction guide of regional health information
platform
Current work
Ministry of Health : Five standards , one guide
Plan for regional medical healthInformation(data) standardization
Implementing the exchange of data and information
The criterion and implementation of DICOM standard
Ministry of Science andTechnology :
Demonstration of the information sharing service of regional cooperation in medical treatment
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
Self-care
Three functions of health record :
Satisfying citizens’ needs in healthSatisfying needs from providers of the medical health service
Health related management
Satisfying needs from managersof the medical health service
Characteristics of the health record :
For people Full content
High efficiency
Unified standards
Classified Guide
Clear key points
Three situations :
Health related decision making
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
MobilePhone
PhoneOnline appointment
Internet
Family
Community Hospital
Separately capturing films/images
villages and towns
Communityhospitals
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.
DICOM Standard and its application
Services that have been implemented by DICOM standard :cooperation, share and service
Collective diagnosis
Sharing reports
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
Online Appointment, Separately Capture,
Films/Images , Collective Diagnosis and 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
3, Images and reports from PACS system and e-case history can be transferred between hospitals by Nanhai’s “One card pass" project
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.
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
Nanhai Health Hospital
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
Nanhai hospital, Southern Medical University
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
Hospital of Integrated Traditional and Western Medicine of Guangdong Province
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
Songgang Hospital
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
Nanhai District of Women and Children Hospital and Health institute
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
罗 村 医 院罗 村 医 院
Luocun Hospital
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
Shatou Branch Hospital of Integrated Traditional and Western Medicine of Guangdong Province
Chengdu Goldisc UESTC Multimedia Technology (GDPACS) co., Ltd
The case history of the patient in hospitals