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WS/T 526-2016: Basic functional specification of the maternal and childrens health service information system
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Basic functional specification of the maternal and childrens health service information system
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Standard similar to WS/T 526-2016 WS/T 655 | WS 310.1 | YBB 0008 | WS/T 536 | WS/T 529 | WS/T 517 | Basic data | Standard ID | WS/T 526-2016 (WS/T526-2016) | | Description (Translated English) | Basic functional specification of the maternal and childrens health service information system | | Sector / Industry | Health Industry Standard (Recommended) | | Classification of Chinese Standard | C07 | | Word Count Estimation | 23,295 | | 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 526-2016: Basic functional specification of the maternal and childrens health service 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.
Basic functional specification of the maternal and childrens health service information system
ICS 11.020
C 07
WS
People's Republic of China Health Industry Standard
Basic function specification of maternal and child health service 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...1
4 General...2
5 Management of "Birth Medical Certificate"...4
6 Screening of Newborn Inherited Metabolic Diseases...5
7 Newborn hearing screening...6
8 Child Health Checkup...7
9 Management of children with nutritional disorders...9
10 Death reports of children under 5 years of age...10
11 Pre-marital health services...11
12 Pre-pregnancy eugenic health check...11
13 Health care during pregnancy and childbirth and high-risk management...13
14 Prenatal screening and diagnosis...14
15 Birth defect monitoring...15
16 Report of maternal death...16
17 Screening for common diseases of women...18
18 Family planning technical services...18
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. China Center for Disease Control and Prevention, Maternal and Child Health Center, National Health and Family Planning Commission Statistical Information Center,
Institute of Science and Technology of National Health and Family Planning Commission, Beijing Maternal and Child Health Hospital, Hunan Maternal and Child Health Hospital, Yunnan Maternity and Child Health Hospital, Chongqing Maternal and Child Health Hospital
Health Center, Hubei Province Maternal and Child Health Center, Yunnan Province Population and Family Planning Research Institute, Henan Province Population and Family Planning Science and Technology Research Institute,
Wuhan Maternal and Child Health Hospital, Suzhou Maternal and Child Health Center, Liuzhou Maternal and Child Health Hospital.
The main drafters of this standard. Zhang Tong, Pan Xiaoping, Ma Xu, Wei Tong, Wang Cunku, Chen Sweden, Gan Liping, Yi Xuemei, Zhao Juan, Wu
Minghui, Du Qiyun, Zhang Yan, Zhao Tao, Zhou Xiaojun, Xiao Nian, Chen Xian, Hu Ronghua, Wang Xiaorong, Wu Qianlan, Qiu Ping, Tang Xuejun, Wang Yuanyuan,
Ma Liguang, Ye Hanfeng, Jiang Lifang.
Basic function specification of maternal and child health service information system
1 Scope
This standard specifies the basic functions and system safety requirements of the information system for maternal and child health services, the relationship between the functions of the information system,
Data sharing and collaboration.
This standard is applicable to medical and health institutions that undertake maternal and child health services and other relevant institutions to perform functions of maternal and child health service information systems.
Planning, design, development, application and evaluation of energy.
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 20988 Information System Disaster Recovery Specification
GB/T 21028 Information Security Technology Server Security Technical Requirements
GB/T 25063 Information Security Technology Server Security Evaluation Requirements
WS 363 All parts of the health information data meta-directory
WS 364 All parts of health information data element range code
WS 376 All parts of the basic data set of child care
WS 377 All parts of women's health basic data set
"National Maternal and Child Health Survey System" (October.2013)
"Pre-pregnancy Health Care Service Standards (Trial)" (Wei Fu She Fa (2007) No. 56)
"Regulations for Health Care during Pregnancy and Childbirth" (Wei Fu She Fa [2011] No. 56)
"National Children's Health Care Work Regulations (Trial)" (Wei Fu She Fa [2009] No. 235)
"Premarital Health Care Work Norms" (Revised by the Ministry of Health, Weiji Fufa [2002] No. 147)
Detailed Rules for the Implementation of the Regulations on the Administration of Family Planning Technical Services (Order No. 6 of the National Family Planning Commission of the People's Republic of China,.2001)
"National Free Pre-pregnancy Pregnancy Health Examination Project Pilot Work Technical Service Specifications (Trial)" (Guo Population Fa (2010) No. 31)
"The Basic Framework and Data Standards of Health Records (Trial)" (Weibanfa [2009] No. 46)
"Regulations on the Application of Resident Health Cards" (2012)
"Regional Health Information Platform and Maternal and Child Health Information System" (2011)
"Technical Solution for the Construction of Maternal and Child Health Information System Based on Regional Health Information Platform (Trial)" (Health Affairs Office [2010] 109
number)
3 Terms and definitions
The following terms and definitions apply to this document.
3.1 maternal and child health information system
In accordance with the requirements of relevant national laws, regulations and policies, using computer, network communication and other technical means to undertake maternal and child health services
The data collected, processed, stored, transmitted and exchanged by the medical and health institutions and other related institutions in the development of maternal and child health services,
Analysis and utilization of "logically complete, physically dispersed" business application system. The Maternal and Child Health Service Information System focuses on serving individual residents,
It is an important technical support for institutions that provide women and children's health services to provide long-term, continuous and dynamic system health services and scientific management for women and children
It also provides reliable data sources for the construction of residents’ electronic health records and the management of maternal and child health.
3.2 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.
4 General
4.1 Data standardization requirements
The relevant data content and data standards in the system should follow WS 376-2013 Child Health Basic Data Set and WS 377-2013 Women
All parts of the basic health care data set and the "Basic Data Structure and Classification Code of All Staff Population".
4.2 Overall function
The Maternal and Child Health Service Information System is an open information system with "logical integrity and physical dispersion" that needs to be run across institutions or even across regions.
In terms of logical structure, its system functions are complete, supporting the operation of the entire maternal and child health business. In terms of physical structure, it is made up of independent
At the business level, a number of business applications running in multiple different organizations are combined organically according to certain business rules.
The Maternal and Child Health Service Information System mainly has the following 14 basic functions.
a) Management of "Birth Medical Certificate";
b) Screening for neonatal genetic and metabolic diseases;
c) Newborn hearing screening;
d) Child health examination;
e) Management of children with nutritional diseases;
f) Death reports of children under 5 years old;
g) Pre-marital health services;
h) Pre-pregnancy eugenic health check
i) Health care during pregnancy and childbirth and high-risk management;
j) Prenatal screening and diagnosis;
k) Birth defect monitoring;
l) Report of maternal death;
m) Screening for common diseases of women;
n) Family planning technical services.
4.3 Functional structure diagram
The functional structure diagram is shown in Figure 1.
Figure 1 The functional structure diagram of the information system of maternal and child health service
4.4 General functions
General functions are generally applicable to all businesses of maternal and child health services, mainly including.
- Appointment service. It supports service functions such as appointment registration, and can make appointments for medical appointments through a variety of terminal devices.
--Health education. Push related health education content according to different business functions to realize health education and guidance functions.
--Data collection. Provide convenient case data entry function, can import or receive standard data and share documents.
--Data management. directly modify and delete the unarchived data. Generally, it is not recommended to modify the archived data directly
Or delete, but indirectly realize the modification or deletion of data through logout or addition, and record the modification log to realize the
Protection and traceability of archived data.
--Quality control. through automatic data verification, data logic review or standardized verification of shared documents, data collection, output,
The quality of exchange is controlled by setting different query conditions to realize data duplication, screening and merging duplicate information.
--Reminder and early warning. By presetting the standard reference values of commonly used indicators of maternal and child health, the abnormal state is automatically judged and reminded and
Early warning.
--Information query. single condition query or multiple condition combination query can be supported.
--Statistics and reports. It can generate statistical reports and graphs in multiple formats at the right time, and supports customization of report formats.
--Output and printing. support report printing and query result printing, support case data, report data and query results in common text
Export in file formats (such as xls, txt, pdf, etc.).
4.5 System management functions
System management functions mainly include.
--User authority management. the roles of internal users and external access users can be set, and data and functions can be performed for each role
Access authorization. Support the role setting of 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 supervision of operation status and record important operation events. Such as operation error log, important data
Data access logs, data modification and deletion logs, etc.
4.6 Sharing and collaboration
After the maternal and child health service process is completed in stages or after the case is closed, follow
A unified data standard is used to transmit and exchange information with related information systems. Realize its data by interfacing with the regional health information platform
Interactive. Interface functions should include. access to maternal and child health records; update maternal and child health records to health records.
4.7 System security functions
The security of the system and data should meet the requirements of GB/T 20988-2007, GB/T 21028-2007 and GB/T 25063-2010.in order to
To ensure system and data security, the system should have the following security-related functions.
--System security access function. the system should have strict authority management, identity authentication and access control functions, and system security
Set to meet the corresponding level of protection construction requirements.
--Important data confidentiality function. The system function design should comply with the management regulations of the relevant security system to ensure personal privacy and other important
Data Security.
--Data traceability function. The system should provide trace retention and data tracking functions for data.
--Data backup function. The system should implement data backup function to ensure that data can be restored.
4.8 Resident health card application functions
The maternal and child health service information system should have the function of interface with residents' health cards and support the application of residents' health cards. The main functions include.
--Resident health card information reading. through the card reader device, obtain the basic identity and basic health information of the resident health card,
And for effective identification of information.
--Renewal of residents' health card information. According to business needs, update the relevant information of residents' health cards through card reading and writing equipment.
5 Management of "Birth Medical Certificate"
5.1 Overview
The "Birth Medical Certificate" is a new law issued by a medical and health care institution in accordance with the relevant provisions of the Maternal and Child Health Law of the
The birth certificate of medical information is mainly used to prove the health and natural condition and blood relationship of the newborn. "Birth Medical Certificate"
Management mainly includes. management of management agencies and issuing agencies, management of blank "Birth Medical Certificates", first issuance, renewal, reissue,
Issuance, revocation of certificate management, file management, etc. for births outside of medical and health care institutions. The main task of the information system is to realize the blank "Birth Medical Certificate"
Management, registration of birth case information, standardized printing and issuance of "Birth Medical Certificate", management of issuance information, management of invalid certificates, and file management;
Provide real-time and reliable certificate management and use information to management and issuing agencies at all levels.
5.2 Business functions
Business functions include.
--Institution Management. Determine the authority of the management agency and issuing agency. The management agency is mainly authorized to apply for, review, inquire, and count.
The issuing agency has the authority to issue the first issuance, renewal, reissue, and issuance of births outside the medical and health care institution.
Issuing authority to issue the "Birth Medical Certificate".
--Blank certificate management. management and issuance agencies at all levels apply for "Birth Medical Certificate", and the superior management agency conducts review
Check, according to the number of "Birth Medical Certificate", carry out the management of storage, delivery and adjustment of "Birth Medical Certificate". recording
Information on the entry, exit date, start and end numbers, handling personnel and other information of the "Medical Birth Certificate".
--First issuance. record and review the birth information of the newborn, the name of the newborn and the related information of their parents, and record the "Medical Certificate of Birth"
The number, date of issuance, visa personnel, issuance agency, and certificate-collecting personnel shall be printed out, and the certificate shall be
The part number is marked for the first issuance.
--Renewal. Recover the original certificate, review the original issuance information of the Birth Medical Certificate, modify the information that needs to be changed, and record the original
Cause, original certificate number, new certificate number for renewal, time of renewal, issuer, issuing institution, certificate-collecting personnel and other information,
Print the issued certificate and mark the new issued certificate number. If the information record of the first issuance is not available, the manual
The function of renewing the issuance after the worker enters the original certificate issuance information.
--Reissue. Review the issuance information of the original "Medical Birth Certificate", record the reason for reissuing, the original certificate number, the new certificate number to be reissued,
Reissuance time, issuer, issuing institution, certificate-collecting personnel and other information, print the issued certificate, and check the number of the newly issued certificate
Reissue mark. If the first issuance information record is not available, the function of manually entering the original issuance information is supported.
--Issuance of births outside of medical and health care institutions. recording and reviewing the birth information of the newborn, the name of the newborn and the relevant information of its parents,
Certificate materials for birth outside the medical and health care institution, record the number, date of issuance, issuer, and issuer of the "Medical Birth Certificate"
Information such as institutions, certificate-collecting personnel, etc., print and issue certificates, and issue certificate numbers for those born outside medical and health care institutions
mark.
--Revocation of Certificate Management. For the blank "Medical Birth Certificate" damaged or lost during transportation, storage, and issuance, or due to printing,
Fill in the wrong and unissued documents to record and mark the revocation, record the revocation number, revocation date, revocation reason, handling machine
Agencies, managers, etc.
--File management. able to issue, renew, reissue, and sign for births outside of medical and health care institutions for the "Medical Birth Certificate"
Classify and mark the issuance and revocation of certificates, and archive management.
--Reminder and early warning. provide the early warning function of medical institutions with relatively more occurrences of reissuance and reissuance of "Birth Medical Certificate";
A reminder function for objects who have been born but have not issued a "Medical Birth Certificate" for more than a certain period of time.
5.3 Query and Statistics
Inquiries and statistics include.
--Information query. can query the information of the issuing institution of the "Medical Birth Certificate" and the issuing information of the "Medical Birth Certificate".
Inquire about the first issuance, renewal, re-issuance of "Birth Medical Certificate" according to single or multiple conditions
Case information such as the issuance, revocation of permits, storage and withdrawal, and transfers can be displayed in a list.
--Statistics and report generation. can generate and output "Birth Medical Certificate" management and usage statistics according to different statistical requirements
Analyze reports and graphics, and support report format customization and conditional query. Able to generate "Birth Medical Certificate" inventory registration,
Business forms such as registration for the first issuance, registration for renewal, registration for reissuance, issuance and registration of births outside of medical and health care institutions, and registration of invalidity certificates, etc.
The registration summary sheet and related information can generate statistical reports such as birth medical information report cards.
5.4 Printing and Output
Provide the function of generating and printing the "Medical Birth Certificate", and provide document inventory, first issuance, replacement, reissuance, medical and health care institutions
The generation and printing function of the issuance, revocation registration form and registration summary form of foreign birth.
5.5 Data exchange
It has the function of obtaining basic information of newborns and their parents from the functions of maternity health care and high-risk management;
Functions for basic information of newborns and their parents.
6 Screening of Newborn Inherited Metabolic Diseases
6.1 Overview
Neonatal genetic metabolic disease screening refers to the treatment of certain congenital, hereditary metabolic or internal diseases that are severely harmful by medical and health institutions during the neonatal period.
Special inspections for secretory diseases and early diagnosis and treatment of maternal and child health technologies are used to improve the quality of the birth population and reduce birth defects
One of the preventive measures. Newborn genetic and metabolic disease screening mainly includes. blood slice collection, delivery, laboratory testing,
Positive cases will be recalled for diagnosis, treatment, and follow-up. The main task of the information system is to record the basic information, screening, diagnosis and treatment of newborns.
To realize the digital storage of neonatal genetic and metabolic disease screening information and service process, and realize business collaboration and data between medical institutions
Sharing, realizing functions such as screening result query, diagnosis result query, follow-up reminder, etc.
6.2 Business functions
Business functions include.
--Blood film management. collect, send for inspection and acceptance of blood film specimens of newborns, and record information about newborn cases and blood film;
Support the input or import function of newborn case information; the function of correct judgment and logical review of the input or imported data.
--Screening management. laboratory testing of newborn blood film specimens, recording relevant screening results; supporting the entry of screening results or
Imported from testing instruments; capable of judging the legality of input or imported data and logically reviewing; capable of reporting screening results
Report notification function.
--Recall diagnosis management. recall, re-screen and confirm the diagnosis of children suspected to be positive after screening, record relevant recall diagnosis information, and establish
Medical records of children with confirmed diagnosis.
--Treatment and follow-up management. treatment and follow-up follow-up of confirmed children, record relevant treatment and follow-up information.
--Reminder and early warning. Provide early warning functions for diseases and regions where the occurrence of genetic and metabolic diseases of newborns is relatively concentrated;
Remind function of blood collection, late blood collection, re-sampling, etc.; provide screening for suspected positive children to be recalled, to be diagnosed, and to be diagnosed
Visit reminder function.
6.3 Query and Statistics
Inquiries and statistics include.
--Information query. It has the function of querying complete case information of newborn genetic and metabolic diseases screening; it can be combined according to single or multiple conditions
Query information about newborn screening blood specimens, screening results, recall diagnosis, treatment follow-up and other information; available in a list
The function of displaying case information of newborns, screening results, suspected positive children, and patient information.
--Statistics and report generation. Provide statistical functions such as screening rate, screening coverage, recall rate, diagnosis rate, treatment rate, etc.;
Generate statistical reports related to neonatal genetic and metabolic disease screening.
6.4 Printing and Output
Can print and output statistical reports related to neonatal genetic and metabolic diseases; can print out screening reports and recall notices for suspected positive children
Information such as orders, re-examination reports, diagnosis reports, etc.
6.5 Data exchange
Possesses to obtain newborn case information (basic information of newborns, basic information of parents, mothers’ pregnancy) from maternal health care and high-risk management
Periodic health information); it has the function of providing newborn genetic metabolism for birth defect monitoring, child health examination, and child management of nutritional diseases
Disease screening and diagnosis related information function.
7 Newborn hearing screening
7.1 Overview
Newborn hearing screening is an effective measure for early detection of newborn hearing impairment, early diagnosis and early intervention. It is an effective measure to reduce hearing impairment.
It is a strong guarantee for the impact on language development and other neuropsychological development, and promotes the healthy development of children. Newborn hearing screening mainly includes.
Screening, re-screening, diagnosis and treatment of positive cases, and rehabilitation. The main task of the information system is to record the basic information of newborns and hearing impairment
Information about initial screening, re-screening, diagnosis, treatment intervention, and rehabilitation, and realize the digital storage of newborn hearing screening...
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