Preface: The cloud HIS system adopts the SaaS software application service model, provides a multi-tenant mechanism for software application services, and realizes the deployment of multiple institutions in one center. Compared with the traditional HIS single-institution application model, it can flexibly respond to application scenarios such as regional medical care, hospital groups, medical alliances, chain clinics, and single hospitals, and improve the standardization and standardization of applications in the region, greatly reducing the cost of software implementation and maintenance. Implementation cycle. The overall architecture of the system is designed in accordance with the standards of the hospital information platform based on electronic medical records.
1. Cloud HIS reconstructs the information architecture of grassroots hospitals
Cloud-Based Healthcare Information System (Cloud-Based Healthcare Information System) redefines HIS, the goal is to provide high-quality and economical medical and health information products and services for small and medium-sized medical and health institutions; it is a medical and health system based on health records, electronic medical records as the core, and cloud computing technology.
Cloud HIS, as an HIS system based on cloud computing B/S architecture, provides a standardized, informatized, and shareable medical information management system for grassroots medical institutions (including clinics, community health service centers, township health centers, etc.), which can effectively share and exchange medical data, solve the problems of repeated data collection and information islands, realize the analysis and mining of grassroots medical data, and provide scientific and reasonable business management services for grassroots health institutions.
The B/S architecture based on cloud computing technology integrates registration, prescription, charging, medicine collection, and medical records, and is fully suitable for various small and medium-sized hospitals
"Cloud" means that the system adopts cloud computing technology and construction mode, which has the advantages of scalability, easy sharing, regionalization, easy collaboration, low cost, easy maintenance, and good experience. The cloud HIS system redefines the hospital information system, aiming to rebuild the information architecture system, reconstruct the management service process, rebuild the patient service environment, reshape the operation and maintenance service mode, and realize the transformation of medical and health informatization from the local area network hospital information system to the wide area network medical and health information system.
Third-level insurance for hospitals
The hospital's third-level protection means that the important business systems of the hospital must pass the network security level protection (three-level protection) assessment and meet the requirements of relevant standards to ensure the security of the hospital information system.
In 2011, the National Health and Medical Commission's "Guiding Opinions on the Graded Protection of Information Security in the Health Industry" stipulated that the important business systems of tertiary hospitals must pass the third-level evaluation of the class insurance, and the important business systems of the second-class hospitals must pass the second-level evaluation of the class insurance. In 2016, the National Health and Medical Commission's "2016 Tertiary General Hospital Evaluation Standard Evaluation Method (Full Version)" stipulated that important business systems must meet the third-level standard of the third-level hospital to meet the requirements for network security in the third-level hospital evaluation standard. In addition, in 2018, the "National Health and Medical Big Data Standards, Security and Service Management Measures (Trial)" and "Internet Hospital Management Measures (Trial)" issued by the National Health and Medical Commission also stipulated that platforms that carry big health and medical data and Internet hospitals must pass the third-level assessment of insurance.
From digitalization to digitalization
, cloud HIS takes EMR as the core, combines the advantages of fully digitalized business processes, flexible data architecture, and differentiated operations, so that medical institutions and medical groups of different scales, cross-business types, and cross-regions can achieve high-quality and rapid development.
Cloud HIS is a medical and health information platform based on cloud computing, big data, Internet and other high-tech research and development. It realizes the transformation of hospital informatization from local area network to Internet, and redefines the concept, framework, function and operation and maintenance system of medical and health informatization construction. Cloud HIS can centrally manage medical resources, improve the quality and work efficiency of medical and health services, and coordinate various businesses inside and outside the hospital.
business challenge
In order to adapt to changes in the external environment of the hospital, HIS needs to be upgraded
With the advancement of China's medical reform, the cancellation of the addition of drugs and consumables, and the promotion of DRG/DIP have all urged hospitals to upgrade their core HIS systems to meet the requirements of government supervision and refined operations.
The maturity of new technology and the application of HIS upgrade become possible
The application of cutting-edge technologies such as artificial intelligence, big data, cloud computing, Internet of Things, and blockchain in clinical and hospital management drives the upgrade of HIS, and many previously unsolvable problems have been overcome by technological progress.
The trend of conglomeration and regionalization makes HIS become the infrastructure for the rapid development of hospitals.
External environments such as medical communities, medical alliances, and group mergers and acquisitions all require data to be shared across hospitals and regions, and the new HIS becomes part of the hospital's development infrastructure.
Integrated
big data, cloud computing, Internet of Things, AI, innovative application of mobile Internet technology
Integrated platform
Multi-organization group structure, unified login, patient master index, master data management, standard interface engine, system monitoring, external system docking
Comply with regulatory rating requirements
Cloud his: Cloud his adopts B/S structure and can be used by accessing webpages through computers and mobile phones.
Cloud his: Applicable to all medical institutions, especially applicable to medical units that can manage units under the group or medical consortia, clinics, community health centers, and clinics.
Cloud HIS goes online quickly
Cloud his: It is open, easy to expand and upgrade, add new functional modules, support the business expansion of the hospital, and in turn empower the hospital, and ultimately provide better services to more patients.
Cloud HIS is born along with new concepts, new technologies, new methods, new environments and new requirements of medical and health care. It redefines the future of HIS, from hospital (Hospital) to medical and health care (Healthcare) information sharing and sharing, from local city network to wide area network interconnection, from institutional medical care to regional medical care coordination and assistance, from hospital to front and back hospital online and offline sharing, from doctors to patients mutual trust and mutual assistance, boosting medical and health informatization into the cloud era.
2. Cloud HIS system empowers medical industry informatization construction
1. Outpatient process of cloud HIS system
The outpatient system of the cloud HIS system mainly realizes the management of hospital outpatient services. It is a medical software system that manages the entire outpatient business process from outpatient registration, consultation to doctor's writing of outpatient medical records, prescription, outpatient treatment, outpatient historical medical record review, and outpatient information inquiry; it manages the entire outpatient business process of outpatient charge registrants for registration, outpatient fees, refunds, settlements, and payment. In addition to the normal scheduling and registration, the cloud HIS system is especially aimed at the particularity of small hospitals or clinics. It provides a quick registration function for the clinic management software to facilitate patients to go directly to the doctor.
2. Cloud HIS system hospitalization process
The process of the inpatient system of the cloud HIS system is that patients first go to the inpatient registration office to register. Then go to the department nurse station of the medical software system to perform the admission operation. The doctor's station creates a new medical record and issues a doctor's order, and the nurse's station executes the doctor's order. When it is necessary to leave the hospital, the treating doctor at the doctor workstation will stop all medical orders and issue a discharge notice. At the same time, it is necessary to issue a prescription for taking medicine for discharge. The nurse station supplements and audits the expenses incurred by the patient in the hospital, and discharges the patient. After receiving the discharge notice, the patient comes to the inpatient billing office to complete the discharge procedures. And print out the discharge settlement receipt and give it to the patient. Complete the hospitalization process of the entire medical software system.
