Guide: The original "170,000-word digital hospital information construction big data platform construction plan WORD" (see the end of the article for the source), this article selects the essence and structure part, with clear logic and complete content, providing a reference for the rapid formation of pre-sales plans.
Table of contents
Chapter 1 Overview of Hospital Informatization
1.1 Analysis of the status quo of domestic hospital informatization
1.2 Difficulties generally faced by hospital informatization construction
1.2.1 Unable to meet the individual needs of hospitals
1.2.2 Unable to meet the needs of operation and decision-making
1.2.3 Low system integration
1.3 Goals of Hospital Informatization and Digital Hospital Construction
1.3.1 Create an all-round smart hospital and realize intelligent services and applications
1.3.2 Realize the construction and application of informatization with electronic medical records as the core
1.3.3 Improve hospital management quality and work efficiency
1.3.4 Realize the comprehensive operation and management of human, financial and material in modern hospitals
1.3.5 Build a regional telemedicine platform to improve medical level
1.3.6 Improve hospital management and decision-making
1.3.7 Smart Card Application
1.3.8 Application of hospital integrated management and control platform
Chapter 2 Overall Scheme Design
2.1 Overall System Architecture
2.1.1 Main process
2.1.2 Overall System Architecture
2.2 SOA-based system architecture
2.3 Clinical information system with electronic medical records as the core
2.4 Comprehensive Electronic Medical Record Solution
2.5 System Features
2.5.1 Adopt advanced information technology
2.5.2 Optimization process
2.5.2.1 Optimizing the consultation process
2.5.2.2 Optimize the registration process
2.5.2.3 Optimizing the triage process
2.5.2.4 Optimizing Prescribing Between Clinics
2.5.2.5 Optimizing the writing process of medical records between clinics
2.5.2.6 Domestic leading inspection and inspection application paperless
2.5.3 Medical JCI Quality Control
2.5.3.1 Secondary review of drug distribution
2.5.3.2 Patient safety identification
2.5.4 Unified bed management in the whole hospital
Chapter 3 Design Content
3.1 Overview
3.1.1 "One Card" system
3.1.2 Outpatient and emergency registration subsystem
3.1.3 Outpatient Triage Calling Subsystem
3.1.4 Outpatient and emergency charging subsystem
3.1.5 Equipment and Material Management System
3.1.6 Inpatient pharmacy system
3.1.7 Outpatient Pharmacy Management System
3.1.8 Chinese and Western Medicine Library Management System
3.1.9 Medical Technology System
3.1.10 Registration System of Hospitalization Charges
3.1.11 Central supply room
3.1.12 Software Technical Functions
3.1.13 Nosocomial Infection Monitoring
3.1.14 Reservation Management System
3.1.15 Dean Inquiry System
3.2 Construction of electronic medical records
3.2.1 Technical Features
3.2.2 Features
3.2.2.1 Structured electronic medical records
3.2.2.2 Patient-centered information integration platform
3.2.2.3 Structured input based on XML
3.2.2.4 Ways, approaches and norms for the application of structured templates in electronic medical records
3.2.2.5 Medical record quality control system
3.2.2.6 Data security and consistency
3.2.2.7 Strong scalability
3.2.3 Support for domestic and foreign standards
3.2.4 Software Function Introduction of Inpatient Electronic Medical Record Doctor Workstation
3.2.4.1 Electronic medical record writing
3.2.4.2 Doctor's order
3.2.4.3 Clinical pathway
3.2.4.4 Diagnostic Management
3.2.5 Software Function Introduction of Inpatient Electronic Medical Record Nurse Workstation
3.2.5.1 Home page information
3.2.5.2 Doctor's Order Query
3.2.6 Software Function Introduction of Inpatient Electronic Medical Record Mobile Nurse Workstation
3.2.7 Software Function Introduction of Outpatient Electronic Medical Record Doctor Workstation
3.2.8 Function Introduction of Electronic Medical Record Quality Control Management System
3.2.9 Rational drug use system
3.3 Medical Technology System (CIS)
3.3.1 PACS system
3.3.1.1 Hospital-wide PACS Construction Planning
3.3.1.2 Construction of comprehensive radiology PACS
3.3.1.3 Hospital-wide PACS Construction Planning
3.3.1.4 PACS function list
3.3.1.5 Radiology information system
3.3.1.6 Special inspection information system
3.3.1.7 Pathology information system
3.3.2 LIS system
3.3.2.1 Function overview
3.3.2.2 Inspection application
3.3.2.3 Specimen collection
3.3.2.4 Specimen acceptance
3.3.2.5 Fill in the test results
3.3.2.6 Specimen review
3.3.2.7 Expense Management
3.3.2.8 Report Printing
3.3.2.9 Comprehensive query
3.3.2.10 Comprehensive statistics
3.3.2.11 Report
3.3.2.12 Quality control management
3.3.3 Hand numbness management system
3.3.4 Blood bank management system
3.3.5 Hospital-wide ECG information system
3.3.6 ECG System Workflow Description
3.3.6.1 Electronic Inspection Application
3.3.6.2 Appointment Registration
3.3.6.3 Queue calling
3.3.6.4 ECG examination
3.3.6.5 Check data upload
3.3.6.6 ECG data analysis and diagnosis
3.3.6.7 Report review and printing
3.3.6.8 Data upload and archiving
3.3.6.9 Data Mining
3.4 Hospital comprehensive operation management platform
3.4.1 Hospital Management System
3.4.1.1 Medical statistics and analysis system
3.4.1.2 Comprehensive query and statistical analysis system
3.4.1.3 Decision Support System
3.4.1.4 Clinical teaching management system
3.4.1.5 Clinical research management system
3.4.2 Hospital resource planning and operation management system
3.4.2.1 Comprehensive budget management system
3.4.2.2 Financial Management System
3.4.2.3 Material management system
3.4.2.4 Fixed Assets Management System
3.4.2.5 Human Resource Management System
3.4.2.6 Cost accounting system
3.4.2.7 Performance appraisal system
3.5 Medical Big Data Cloud Platform
3.5.1 Overall Overview of Medical Cloud Solutions
3.5.1.1 Key points of medical informatization development
3.5.1.2 Medical Cloud Architecture and Objectives
3.5.1.3 Technical Architecture
3.5.1.4 Cloud technology construction plan
3.5.1.5 Cover community hospitals and realize two-way referral
3.5.1.6 Desktop office anytime, anywhere
3.5.1.7 Hospital Informatization Solutions
3.5.1.8 Pharmaceutical sales information solutions
3.5.1.9 Health management information solutions
3.5.1.10 Significantly reduce the pressure of operation and maintenance management
3.5.1.11 Solve the safety issues that the hospital cares about
3.5.2 Capabilities in medical cloud construction
3.5.2.1 Cloud capabilities
3.5.2.2 Business Development Ideas
3.6 Other systems
3.6.1 Physical Examination Information Management System
3.6.1.1 Medical examination business flow chart
3.6.1.2 Individual registration process
3.6.1.3 Unit registration process
3.6.1.4 Pre-settlement process
3.6.1.5 Billing process
3.6.1.6 Department inspection process
3.6.1.7 General inspection process
3.6.1.8 Report Issuance Process
3.6.1.9 Query statistics process
3.6.1.10 User Management Process
3.6.1.11 Basic setting process
3.6.2 Operation Teaching and Telemedicine Education System
3.6.2.1 System overview
3.6.2.2 System Composition
3.7 Hardware and Network System Design
3.7.1 Computer house system
3.7.1.1 Application requirements
3.7.1.2 Design scheme of main engine room
3.7.1.3 Disaster Recovery Computer Room Design Scheme
3.7.2 Server Subsystem
3.7.2.1 Application requirements
3.7.2.2 Configuration requirements
3.7.3 Storage Subsystem
3.7.3.1 Storage scheme
3.7.3.2 Features and advantages
3.7.4 Wireless network
3.7.4.1 Design principles
3.7.4.2 Wireless networking suggestions
Chapter 4 Construction Organization Design
4.1 Project overview
4.2 Labor force plan, main equipment materials, component usage plan
4.3 Construction progress plan and guarantee measures for each stage progress
4.4 Construction site layout and temporary facilities, temporary road layout
4.5 Special project construction plan, key points and difficulties in project implementation and technical measures
4.6 Safety, civilized construction and environmental protection measures
4.7 Project management team configuration
4.8 Quality assurance system and measures
4.9 Construction coordination and division of construction interface
Chapter 5 After Sales Service Plan
Chapter 6 Rationalized Proposals
6.1 Construction principles
6.2 Recommendations
Chapter 7 Project Budget
7.1 Project budget
Chapter 1 Overall design of the scheme
The construction of a digital hospital will make the traditional "charging-centered" hospital information system move towards a "patient-centered" clinical information system, and the hospital will also form a new service model. The industry generally agrees that digital hospitals are characterized and important by the "three nos" (paperless, filmless, and wireless).
The overall hospital informatization solution is based on wireless network, desktop virtualization technology, EDA, hand-push terminal, tablet computer, barcode reader, RFID and other hardware, using SOA overall architecture technology, barcode technology, RFID radio frequency technology, WCF middleware Service technology, MOBILE application technology and other technologies realize the mobilization and intelligence of the business platform with electronic medical records as the core, and systematically solve the medical document records, medical operation records, medical quality clinical control, performance appraisal, and hospital costs in the medical industry. Control and other issues, and systematically guarantee medical safety, improve medical efficiency, and strengthen standardized management, so that medical institutions can serve patients with higher quality.
Electronic medical records are an inevitable trend in the process of hospital informationization. Establish patient-centered, clinical diagnosis and treatment information as the main line, integrate all links related to patient diagnosis and treatment, including outpatient medical records and prescriptions, medical technical examinations, tests, doctor's orders, doctor and nursing medical records, etc. Medical records are conducive to doctors' accurate diagnosis and effective treatment of patients, improving the work efficiency of medical staff, strengthening the overall quality management level, improving the relationship between doctors and patients, reducing medical disputes, and improving the image of the hospital.
The implementation of electronic medical records and the establishment and improvement of a hospital information system with electronic medical records as the core are important measures to achieve the goal of modern hospital management. It is of great significance and far-reaching influence to promote the equalization of medical services, promote the development of medical service management to be scientific, standardized, professional, refined, and informatized, improve medical services, ensure medical quality and medical safety, and improve hospital management. Establishing and improving the hospital information system with electronic medical records as the core is an important measure to achieve the goal of modern hospital management, and it has great significance and far-reaching influence on improving the hospital management model.
On the other hand, the new application of wireless technology in medical treatment will play an increasingly important role in improving the work efficiency of medical staff, improving the quality of life, and promoting the construction of digital hospitals. As a supplement to the hospital wired LAN, the wireless LAN effectively overcomes the disadvantages of the wired network, and uses PDA or tablet wireless computers to query and input vital sign data and medical data anytime and anywhere, and can be used in doctor's ward rounds, bedside nursing, call communication, Wireless technology will play an irreplaceable role in nursing monitoring, drug distribution, patient identification, wireless mobile phone applications and other fields.
Through the construction of clinical information system with electronic medical records as the core, establish the entire hospital information system, from medical document data center CDR to medical electronic medical record EMR, to medical support system CIS, such as LIS, PACS, Check Image Report, CPOE, etc., to the hospital Operation management system MIS, such as outpatient charging system, inpatient charging system, drug management system, property management system, etc., and finally formed three centers, medical document data center, medical quality monitoring center, hospital operation data center.
The goal of the overall solution of hospital informationization :
Ø With medical safety as the center and convenient operation as the goal, we will make every effort to create new medical industry information system solutions;
Ø It is a patient-centered medical information integration framework and provides an open, standards-based, interoperable electronic medical record solution;
Ø Based on standardized medical records, it greatly facilitates medical analysis and provides a data basis for medical research and clinical quality control;
Ø It can help realize the sharing of medical records among medical institutions across departments and regions, and improve the efficiency of medical services;
Based on the advanced design concept of Nunet's digital hospital framework, Nunet puts forward a new concept of hospital clinical services. In order to meet the needs of various applications in the hospital, a wireless LAN is built on the basis of the existing LAN in the hospital to establish a hardware platform for information transmission, and a wireless handheld terminal MC55/MCA is configured for the front end of the system application to realize real-time application and information mobility. Middleware is adopted Technology establishes a service-oriented general data exchange platform, integrates various information subsystems of the hospital, provides a unified and standard interface for the hospital application system, and facilitates the maintenance of the existing application system and the expansion of the future system.
The construction of an overall hospital informatization solution with electronic medical records as the core can not only directly solve the demand for on-site support of information data in the clinical medical work of the hospital, but also lay a solid foundation for the construction of digital hospitals in the future.
1.1 Overall system architecture
After years of development, the overall hospital information solution covers all aspects of hospital medical treatment and management. As mentioned above, the information system of Run Run Shaw Hospital is independently developed and completely in line with the actual process of the hospital. The hospital's business revolves around the two main processes of outpatient service and inpatient service.
1.1.1 Main process
Hospital Outpatient Process
hospital admission process
Chapter 1 Design Content
1.1 Overview
The information construction with electronic medical records as the core mainly focuses on the construction of HIS, EMR, LIS, PACS and other systems. Main content of HIS construction
1.1.1 "One Card" system
The functional structure diagram of the hospital card system is as follows:
The hospital card system is suitable to adopt the (4+N) "platform + application" functional structure, that is, the platform composed of four parts: "account set management, personnel organization management, equipment card management, and operation console management" as the public foundation. Here On the platform, card reading machines with different functions and corresponding business management software are added to form N business subsystems. Each business subsystem takes the platform as the core to form a one-card system with powerful functions, flexible structure and changeable applications. This structure has the following advantages:
1. Each subsystem is relatively independent and closely related, so the system functions can be more or less, and the system scale can be large or small, providing hospitals with a wide range of functional options.
2. The functions of each subsystem correspond to the responsibilities of each department, and have little impact on the hospital's workflow.
3. The subsystems can fully share data information and ensure relative security.
4. The functions of the system have good scalability and strong adaptability, which is convenient for the hospital to continuously improve performance and expand the scope of application according to needs, and avoid wasting investment due to system reconstruction and expansion.
5. It is convenient for system maintenance and upgrade.
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