1、An Introduction of Pudongs Progress in Shanghai Health Information Development,Pudong Team Aug. 2007,Contents,Basic requirements Methodology Present evolvement Investigation & research of Pudong health information Information requirements in Pudong core set of electrical health archives Next-step ta
2、sks requirement,Basic requirements,Projects name Exploring the regional health information sharing mechanism Basic requirements Based on real case: Pudong New Area health Information System, exploring the regional health information sharing model Inner-hospital information integration Inter-hospital
3、 information sharing model,Methodology,5W1H Why? What? Where? When? Who? How? Investigating & researching Theory Model Construction Model,5W1H,What What do we want to do? We underwent two phases in Pudong, first step is hospital developed its system independently, second step is based on a integrati
4、ve plan. We have established Pudong health information network. But what are our next tasks? What is our next targets? That the relationship between information services and health services or people is our thoughts. People is our focus. Information services and patient. Information services and hea
5、lth provider system. Information services and health services efficiency, veracity etc. Information services and health management, decision-supporting etc. Information services and seamless care chains.,Establishing region-level data sharing and exchange system Implementing universal application on
6、 personal electrical health record and electrical clinical workstation Implementing interconnect & communication between them Implementing region-level people health electrical administration.,Projects targets Establishing sharing system and model (inner-hospital and inter-hospital) Investigation of
7、 Pudong new area health information situation & foundation Share and exchange data set of community electrical health record Establishing core data set standard Sharing standards and guidelines in regional health care, health information codes, classifications, vocabularies Hardware and network conf
8、iguration standard Basic application software standard (framework, function, interface etc) Evaluation standard,WHY? The need of people The need of medcare evolution The need of medical enterprise development,WHEN? The regional health information system establishment in Pudong new area will be speed
9、ed by Finland cooperation project. Presently, foundation condition has been prepared (hardware, network, basic software) Local governments support,WHERE? Pudong New Area, Shanghai,WHO? Join together, share production Government, specialty institution, medcare organization, manufacturer, neutral eval
10、uating organization,HOW? Definited targets Resoluble targets Investigation & research, Literature search, Discussion Theory model Information technology Experiment & Practice Evaluation,Methodology,What do we share and exchange? Inner-hospital The community health service center. Synthesis hospital：
11、inter-department share and exchange Inter-hospital The community health service center: personal health archives Synthesis hospital：electrical patient record Diagnosis and care chain The optimization of clinic service workflow Bi-directed transfer of patient,How to share and exchange? Message based
12、Core data set Core service set Codes, classifications, vocabularies Concentrated Data Management Data cleansing and data life-cycle management Standard, criterion, interface,Project progress Foundation investigation Standard establishment core data set Application modeling Codes, classifications, vo
13、cabularies Work-flow reconstruction,Present progress,Foundation investigation (the community health service center) 26 community health information systems Structure, staff, investment, network configuration, hardware configuration, software configuration, security devices and future plan etc. Concl
14、usion: all hold basic HIS, but with great difference in different communities,Structure and staff Every center has set up information department with one or two staffs Mainly provides basic maintenance Without structure standard Has staff trained, but poor quality,Investment In recent 5 years, 0.5 m
15、illion RMB at lowest level, 0.8 million RMB at medium level, 1 million RMB at highest Mostly，average cost is about 0.1 million RMB one year Absent system strategic plan in health information construction Without detail content and cause in annual budget,System function module Basic functions (common
16、 modules in clinic register, charge(invoice), admission & leaving management, pharmacy management, hospital manager query system, nurse workstation system ) Half hospitals equipped e-family health archives system 30% hospitals equipped doctor work stations 25% hospitals equipped LIS RIS etc Few hosp
17、itals have EPR system, diagnosis and treatment monitor system,Application status All basic function are running completely Others (including E-health archives system) are running partly,Hardware, network Average 1 to 2 servers each hospital LAN, 1 to 2 Switches Connected to Pudong Health information
18、 network Without storage facilities and special back-up devices 1.5 to 3 persons equipped 1 Personal Computer(avg),Investigation of hospital managers expectation According to target priority 1、doctor work station 2、medical technology related information system 3、foundation part of HIS 4、EHR 5、system
19、s interconnect (inner-hospital data share) 6、linkage between health archives and public health information system,Foundation investigation in second-level synthesis hospital (Polyclinic) Structure and staff Every center has information department with 4 to 7 employees Mainly with responsibility for
20、the most basic administration, other jobs relied on exterior contract Normal training for staff, with credible quality Without public health information system,Investment Total cost up to 5-10 million RMB Mostly, average cost is about 0.4 million RMB one year Absent entire system plan in hospital in
21、formation construction Without detail content and cause in annual budget,System function module Basic functions (common modules in clinic register, charge, admission & leaving management, pharmacy management, hospital manager query system, nurse work station system ) Most of hospitals equipped docto
22、r work-station Most of hospitals equipped LIS etc. systems. Many hospitals have EPR, diagnosis and treatment monitor system All interconnect among different systems complete based on share database, but without standard interface,Hardware, network Average 4 to 8 servers, most of hospitals equipped w
23、ith Small Computer System LAN, a lot of Switches, with normal programming Connected to Pudong health information network With disk storage facilities and without special back-up devices One person equipped one Personal Computer,Kernel set of electrical health archives,Core data set Electrical health
24、 record Doctor work-station (electrical case history) Codes, classifications, vocabularies,Electrical health record The combined electrical record set of personal and family health Records the correlative procedures and factors of humans health Implements the administration and monitor of whole peop
25、le and complete procedure Provides services for daily work, administration, making decision,1+5x+Y pattern 3+3 hospital pilot units,The composite of Chinese electrical health record Personal health archives Basic status Important events Main health problems Disease administration Family health archi
26、ves Basic information Family members Social and economic status Health status Family characteristic,The reduced set of electrical health record Personal health archives Basic status (including part of health problem, optimal reduction) Important events (optimal reduction) Main health problems (integ
27、ration of public health system, optimal reduction) Disease administration (based on core public health system) Family health archives Optimal reduction,The coordination and coalition of electrical health archives with other systems With doctor work-station Event reports (involving disease history ho
28、me-page) Disease reports Diagnosis and treatment daily log With public sanitation system Health administration Disease administration Health evaluation,The application of electrical health record Data authentication Data cleansing Data query Interface,The risk of electrical health record Authority R
29、eality Credibility Timely Integrality Feasibility Privacy,Core set of Personal health record,Discussion about personal health record(see attached pages),Synthesis hospital share data set As one of the first phases targets, we are going to collect following four kinds of data from hospitals, which is
30、 not involved image operations Patients diagnosis and treatment record Patients basic information Lab test reports Inpatient Case history during staying at hospital,Patients diagnosis and treatment record includes following four data tables: Diagnosis and treatment record table Detailed doctors advi
31、ce table Detailed charge table Charge record table,Patients basic information table Medical card number Identity card number Identity card type Sex Name Marriage status Birth date Birth place,Lab test reports,Inpatient,Next-step tasks,Definition of core data set Researches on data share model Standa
32、rdization of Codes, classifications, vocabularies Data exchange guidance and standard Construction standard of community health service centers information system Data share pattern in second-level synthesis hospital Reconstruction of work-flow Data query mode integration specification methods,Neede
33、d help,Hope following helps from Finland collaborator Contents and forms of inter-hospital shared information Application pattern of hospital EPR Interconnect and integration platform in hospital Finland localization experience on HL7, especially CDA-R2 vocabularies, category method and standard Int
34、erconnect standard between hospitals (transmission, format) Data security standard Privacy administration criterion Electrical health record in Finland,Thanks！,Personal health archives Focus on persons health Span whole life-cycle Cover different factors associated with health Implement dynamic info
35、rmation collection from multi-channel Satisfy need from many ways Provide personal health data for information integration Mainly includes four parts: basic information, important events, primary health problem and disease administration Family health archives All kinds of family members valuable he
36、alth records from family or society activities Reflect familys primary health characteristic Collect every members personal health archives Mainly includes five parts: basic information, family members data, social and economic status, health status and familys characteristic,Community health archiv
37、es Reflect communitys primary health characteristic Formed by every familys health archives The important part of community construction The real record of community work Mainly include eight parts: physical geography, habitation, economic status, traffic and communication, population quantity, popu
38、lation structure, health status, sanitation resource and its exploitation,Personal health archives plus familys characteristic forms family health archives. Moreover, family health archives plus community characteristic forms community health archives Personal health archives is our emphasis in this project,
