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Basic data
| Standard ID | WS/T 517-2016 (WS/T517-2016) |
| Description (Translated English) | Fundamental function specification for primary health information system |
| Sector / Industry | Health Industry Standard (Recommended) |
| Classification of Chinese Standard | C07 |
| Word Count Estimation | 53,569 |
| Date of Issue | 2016-08-23 |
| Date of Implementation | 2017-02-01 |
| Regulation (derived from) | State-Health-Communication (2016) No.12; Industry Standard Record Announcement No.16 of 2016 (No.203) |
| Issuing agency(ies) | National Health and Family Planning Commission of the People's Republic of China |
WS/T 517-2016: Fundamental function specification for primary health information system
---This is a DRAFT version for illustration, not a final translation. Full copy of true-PDF in English version (including equations, symbols, images, flow-chart, tables, and figures etc.) will be manually/carefully translated upon your order.
Fundamental function specification for primary health information system
ICS 11.020
C 07
WS
People's Republic of China Health Industry Standard
Basic function specification of primary medical and health information system
2016-08-23 released
2017-02-01 implementation
Issued by the National Health and Family Planning Commission of the People's Republic of China
Table of contents
Foreword...II
1 Scope...1
2 Normative references...1
3 Terms and definitions...2
4 Abbreviations...4
5 General...4
6 Health Record Management...6
7 Basic public health services...10
8 Basic medical services...26
9 Health Information Service...36
10 Organization Operation Management...38
11 Supervision Interface...46
12 Standardization requirements...48
13 System Safety Requirements...49
Foreword
This standard was drafted in accordance with the rules given in GB/T 1.1-2009.
This standard was proposed by the Information Standards Professional Committee of the National Health Standards Committee.
The main drafting units of this standard. National Health and Family Planning Commission Statistical Information Center, Hubei Provincial Health and Family Planning Commission Information Center, Hunan Provincial Health Planning Commission
Health Committee Information Statistics Center, Sichuan Provincial Health and Family Planning Information Center.
The main drafters of this standard. Meng Qun, Wang Caiyou, Tang Xuejun, Zhang Lili, Tong Xin, Xiao Xingzheng, Lei Yonggui, Xu Dan, Gan Huaping, Feng
Chang Qi, Xu Chunhua, Xu Dejun, Jiang Hua.
Basic function specification of primary medical and health information system
1 Scope
This standard specifies the primary medical and health information systems and their functions applied to township health centers, community health service institutions, and village clinics.
Definition, scope of application and functional requirements of energy units.
This standard applies to the planning, design, development, deployment and application of primary medical and health information systems;
The developer put forward construction requirements.
2 Normative references
The following documents are indispensable for the application of this document. For dated reference documents, only the dated version applies to this document.
For undated references, the latest version (including all amendments) applies to this document.
GB/T 14885-1994 Classification and codes of fixed assets
GB/T 20988-2007 Information Security Technology Information System Disaster Recovery Specification
GB/T 21028-2007 Information Security Technology Server Security Technical Requirements
GB/T 25063-2010 Information Security Technology Server Security Evaluation Requirements
WS 365-2011 Basic data set of urban and rural residents' health records
WS 370-2012 Guidelines for the compilation of basic data sets of health information
WS 371-2012 Basic Information Basic Data Set
WS 372-2012 Basic Data Set of Disease Management
WS 373-2012 Basic Data Set of Medical Services
WS 374-2012 Basic Data Set of Hygiene Management
WS 375-2012 Basic Data Set for Disease Control
Basic Standards for Electronic Medical Records (Trial) Ministry of Health.2010
Regulations on Strengthening the Quality Supervision and Administration of Essential Medicines, the State Food and Drug Administration.2009
Opinions on promoting the gradual equalization of basic public health services Ministry of Health, Ministry of Finance, National Population and Family Planning Commission.2009
National Standards for Basic Public Health Services (2011 Edition) Ministry of Health.2011
National Essential Medicines List (Part of Provision and Use of Primary Medical and Health Institutions) Ministry of Health Order No. 69
National Essential Drug List Management Measures (Interim) Ministry of Health.2009
Financial System of Primary Medical and Health Institutions Ministry of Finance Ministry of Health.2010
Guiding Opinions on the Management Information System Construction Project of Primary Medical and Health Institutions National Development and Reform Commission.2012
Provisions on the Administration of the Confidentiality of the International Networking of Computer Information Systems by the State Administration of Secrets
Technical solutions for regional health information platform construction based on health records Ministry of Health,.2009
Guiding Opinions on Establishing and Regulating the Procurement Mechanism of Essential Drugs for Government-run Primary Medical and Health Institutions, General Office of the State Council,.2010
Resident Health Card Supporting Management Measures and Technical Specifications Ministry of Health.2012
Measures for the Administration of Fixed Assets of Public Health Institutions, Ministry of Health, 1987
Hospital Accounting System Ministry of Finance.2010
3 Terms and definitions
The following terms and definitions apply to this document.
3.1
Primary health information system, PHIS
To meet the needs of urban and rural residents for basic health services, to meet the needs of urban and rural residents’ health file management, basic public health services, basic
Information systems required by medical services, health information services, institutional operation management, and primary health supervision.
3.2
Electronic health record, EHR
The electronic resident health file is an information resource database about the health status of medical care objects. The information resource database can be processed by a computer.
It exists in the form of management, and can be stored and transmitted safely, and can be accessed by authorized users at all levels. In this document, electronic health records are referred to as health
file.
3.3
Regional health information platform based on health records
Regional health information platform, RHIP
A data exchange and sharing platform that connects the basic business information systems of medical and health institutions in the area, which is the integration of information between different systems
Foundation and carrier.
3.4
Basic public health service
Professional public health institutions and community health service centers (stations), township health centers, village clinics and other primary medical and health institutions
Public health intervention measures provided by local residents mainly play a role in health maintenance, health promotion, and disease prevention.
3.5
Basic medical care
Medical institutions and community health service centers (stations), township health centers, village clinics and other primary medical and health institutions provide all residents with
Provided and public welfare medical intervention measures mainly play a role in disease treatment.
3.6
Essential drugs
A medicine that meets the needs of basic medical and health care, has suitable dosage forms, reasonable prices, and can guarantee the supply of medicines that can be fairly obtained by the public.
3.7
New Rural Cooperative Medical System
Organized, guided, and supported by the government, farmers voluntarily participate, individual, collective and government multi-party financing, and farmers’ medical
The system of mutual aid and mutual aid. Collect funds through individual payment, collective support and government funding.
3.8
Primary medical and health institutions
Community health service centers (stations), township hospitals, and village clinics.
3.9
Health Service Object
Individuals who obtain and receive services through the medical and health service system. In this document, patients, residents, and individuals are all health service targets.
3.10
General practice
General practitioners provide continuous and comprehensive health care services for individuals, families and communities.
3.11
Role
The identity of the system functional unit user.
3.12
Functional unit
A unit that provides system functions, generally refers to functional modules and services.
3.13
Functional module
A collection of program elements such as data descriptions, executable statements, and procedures, functions, subroutines, or macro calls that can be accessed by name.
3.14
Service
Through the encapsulation of functional modules, with well-defined interfaces and contracts, the loose coupling of functional units is realized. Through a system
One and a general way to interact across hardware platforms, operating systems, and programming languages.
3.15
Information security
The hardware and software of the information network and the data in the system are protected from being destroyed, altered, or altered by accidental or malicious reasons.
Leakage, the system operates continuously, reliably and normally, and the information service does not interrupt the operation.
3.16
Coupling
The degree of association between functional units.
3.17
Cohesion
The degree of correlation between the components within the functional unit.
3.18
The principle of strong cohesion, loose coupling, loose coupling, strong cohesion
Within a given functional module, all codes should only accomplish a single goal. At the same time, a single function module in the program should
Be as independent as possible. When processing a functional module, you should not rely on the internal work of another functional module.
4 Abbreviations
The following abbreviations apply to this document.
5 General
5.1 Overall function
Mainly divided into the following 6 basic contents.
--Health file management. provide establishment and management for residents’ personal health file management, resident health card management, family health file management
Management, and use functions.
--Basic public health services. To meet the requirements of the National Standards for Basic Public Health Services (2011 Edition), provide corresponding services
Service function;
--Basic medical services. provide general diagnosis and treatment, hospitalization management, family beds and nursing, health checkups,
Clinical application and management functions such as inspection and two-way referral;
--Health information services. Provide health-related information services for residents, primary medical and health institutions and health management departments.
--Organization operation management. provide medicine, materials, equipment, finance and personal performance related to the operation of primary medical and health institutions
management;
--Supervision interface. for basic public health service supervision, basic medical service supervision, essential drug supervision, and new rural cooperative medical care
(Hereinafter referred to as the New Rural Cooperative) provides an interface for compensation supervision.
5.2 Functional structure diagram
The functional structure diagram is shown in Figure 1.
Figure 1 Functional structure diagram
5.3 General functions
Common functions are generally applicable to basic public health services and basic medical services. mainly includes.
--Data collection function. Provide convenient and complete input of case data, import or receive standard information or share document information.
--Data management function. modify the data that has not been archived and can be modified. Generally, no direct modification is provided for archived data
And delete, but protect the archived data by logging off and adding, and record the modification log to ensure data
Traceability.
--Quality control function. through automatic data verification, logical review of data or standardized verification of shared documents, data collection,
Data quality control of output and exchange.
--Case query function. Provide single item and multiple combination query function for case data.
--Evaluation and reminder function. can preset standard reference values of commonly used detection indicators for primary medical and health services, and make evaluations based on the reference values
Prices and tips.
--Report generation and printing. It can automatically generate statistical reports and graphs in multiple formats, and can query, print and export report data.
Support report format customization.
--Data sharing and exchange function. between the primary medical and health information system and the regional health information platform based on health files, the primary
The data between each functional unit of the medical and health information system and its corresponding upper and lower level business information systems can be in accordance with 12.2
Standard data transmission and exchange, and related data information can be inquired, exported and printed within the scope of sharing authority.
--Query and statistical output methods. query and statistical results can be through browser pages, computer forms, printers, Excel
Report, graphical representation, dashboard or standardized XML/JSON format output.
--Interface data processing function. the primary medical and health information system should provide the reception, verification,
Analysis and processing interface services to ensure the receiving application of health file sharing documents.
--Interface information providing function. the corresponding result information of each service module of the system should be provided in the form of shared documents, and conform to 12.2
Required data standardization requirements.
5.4 System management functions
System management functions should include.
--User authority management. The operator and the role of the access system can be set, and the function and data access authority of each role can be granted
right. The authority to use different institutions such as township health centers, community health service agencies, and village clinics is also set here.
--Organization and department management. Set up the system-related institutions and departments (departments).
--Data dictionary management. The parameters required by each functional unit are set according to different applicable scopes.
--Operation supervision and log management. Provide monitoring of operation status and record important operation events. Such as operation error log, important data
Data access logs, data modification and deletion logs, etc.
6 Health Record Management
6.1 Management of residents' health records
6.1.1 Function definition and scope of application
6.1.1.1 Function definition
Resident health file management is that primary medical and health institutions are permanent residents in the jurisdiction, including residents who have lived for more than half a year and non-residents.
Medical and health service records established. The content of resident health file management includes basic personal information, physical examination, and health management of key populations
Records and other medical and health service records.
Residents' health file management service is a computer application software unit that provides business and management support for the residents' health file management process.
6.1.1.2 Scope of application
Resident health file management services are applicable to the management process of residents' health files by health file managers of primary medical and health institutions.
6.1.2 Functional requirements
6.1.2.1 Business service functions
Residents' health record management service functions should include.
--Registration service of basic information of residents' health files. collect basic personal information and establish personal health files.
--Revision of residents' health files. modify basic personal information, add and delete health record items, etc.
--Update of residents’ health records. respond to the update requirements of other service components or system modules, update basic personal information and other
The content of its health record.
--Relocation of residents' health files. The residents' health files need to be relocated with the change of residents' personal residences, and the system should support
Move out and move in function. If the moving-in place cannot be interconnected with the moving-out place, support the transfer of residents’ health records to
Produce a standardized health file sharing document format to ensure that it is imported and used in the place of relocation. Support sharing of health files when moving in
The residents' health files in file format are imported into the system for use. For migration between regions that have achieved interconnection, it can be directly
The connection is made through the network.
--Deletion of residents’ health files. during the editing period, residents’ health files can be deleted arbitrarily before confirmation.
After the file is confirmed, deletion is not allowed, and all deletion operations will be performed through logout.
- Cancellation of residents' health files. due to personal death or due to repeated mergers of health files, they should be deleted through cancellation. Logout
The method is only to mark the cancellation in the health file, and explain the reason for the cancellation, and does not carry out the physical deletion.
--Re-checking and merging of residents' health files. check personal information with the same or high similarity in the health files and confirm that they are the same person
After that, the health files were merged. It is advisable to merge the health records established later into the health records established earlier.
The file is cancelled.
6.1.2.2 Query and statistics functions
Query and statistics functions should include.
--Review and query. through the resident health card, you can query personal health file information, or respond to other service components and function modules.
Read the requirements and provide standardized health file information. The result information of personal health file retrieval and query should include but not limited to
The following items.
6.1.3 Functional collaboration and data interaction
6.1.3.1 Function collaboration
Resident health file management can cooperate with resident health card management, family health file management and other special health management functions.
Realize the business process of health management; cooperate with basic medical services to realize services to residents.
The follow-up functional operations that can be carried out in the management of resident health records include resident health card registration, family health record management, and vaccination
Services, child health management services for children aged 0-6, maternal health management services, elderly health management services, health management services for hypertensive patients
Services, health management services for patients with type 2 diabetes, management services for patients with severe mental illness; general medical diagnosis and treatment, hospitalization management, family disease
Bed and nursing care, physical examination, two-way referral, etc.
6.1.3.2 Data interaction with regional health information platforms
Through the interface with the regional health information platform to realize its data interaction, the interface functions should include.
--Access to health files. obtain the health files of patients;
--Health file update. update the health file data to the regional health information platform.
6.2 Resident health card management
6.2.1 Function definition and scope of application
6.2.1.1 Function definition
Resident health card management is the management of electronic identification cards provided by primary medical and health institutions for residents who establish health records.
The resident health card management service is a computer application software unit that provides business and management support for the resident health card management process.
6.2.1.2 Scope of application
The resident health card management service is applicable to the health file establishment personnel of primary medical and health institutions to issue and link to the residents of the health file establishment.
The management process of loss, restoration, replacement and cancellation of residents’ health cards.
6.2.2 Functional requirements
6.2.2.1 Business service functions
Resident health card includes four parts. identification data, card identification data, basic health data, and management data.
Management service is the dynamic maintenance of personal health records. Its functions mainly include.
-Resident health card registration. by reading the identity number of the person who created the health file or entering the temporary medical health card number and password, and
The basic information of the health file, the identification data, basic health data and management data are written into the residents’ health through the card writer.
Conca. At the same time, record the established resident health card number in the health file to activate the resident health card;
--Renewal of resident health card information. According to business needs, the basic health data or management data of the resident health card can be updated;
--Report the loss of the resident health card. set the status of the resident health card to suspension and restrict the use of the resident health card;
--Recovery of resident health card. set the status of resident health card to active state, and allow the use of resident health card;
--Replenishment of resident health card. re-make a health card based on the basic information of the health file, and record the date of replenishment and instructions for replenishing the card, etc.
information;
- Cancellation of resident health card. set the status of resident health card to stop;
--Use of resident health card. It can read resident health card information through a card reader, and it can be used in health information query, payment and other services
The resident’s health card should be identified when used.
6.2.2.2 Query and Statistics
Query and statistics functions should include.
--Inquiry and access. You can inquire about personal health file information through the resident health card, or respond to the adjustment of other service components and functional modules
Read the requirements and provide health file information in the form of a health information file. The result information of resident health card reading and query should include
But not limited to the following items.
--Statistics. According to the statistical conditions of the operator, the statistical results of the personal health files are given. Or respond to other service components, functional modules
The statistical requirements of the block provide standardized statistical result information. The statistical results should include but not limited to the following items.
6.2.3 Functional collaboration and data interaction
6.2.3.1 Function collaboration
After completing the registration, issuance, reissuance and other activities of the residents' health card, the results should be updated to the residents' health records.
After the resident health card is successfully read, the follow-up functional operations that can be performed according to the authority include resident health file management, family health file management,
Vaccination services, children’s health management services from 0 to 6 years old, maternal health management services, elderly health management services, health care for patients with hypertension
Health management services, health management services for patients with type 2 diabetes, management services for patients with severe mental illness; general medical diagnosis and treatment, hospitalization management,
Services such as family hospital beds and nursing care, health checkups, and two-way referrals.
6.2.3.2 Data interaction with regional health information platforms
Through the interface with the regional health information platform, the data interaction is realized. The interface functions should include. resident health card registration, information
The health card information will be updated to the platform in time during the process of information update, loss reporting, restoration, card replacement, and cancellation.
6.3 Family health record management
6.3.1 Function definition and scope of application
6.3.1.1 Function definition
Family health record management is the basic health information record established by primary medical and health institutions for the permanent residents in the jurisdiction as a family unit.
The main information includes the home address, the number of people and the basic information of each person, the names of the doctors and nurses, the date of filing, etc. Health of family members
The file can be associated with the family health file through the mark.
Family health file manageme...
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