Ministry of Public Health plans to build the record hospitalization cost of electronic case history Solve and see the doctor expensively
On today of electricity of August 4 of www.chinanews.com, Ministry of Public Health releases on its website about soliciting>The notice on opinion, continue implementing the relevant work of promoting the system reform of the medical and health.
" opinion " shows, it is for guaranteeing the health file " several are active " to set up the electronic case history ,In order to realize the medical course is supervised, must record all previous contents of hospitalization cost summary information,etc. that happen on the clinic of medical organization, thus solve residents " The difficulty and high cost of getting medical treatment " Wait for the question.
" opinion " is clear at first, the electronic case history is a medical organization, to the clinic, patient (or health care target) in hospital Clinic diagnosis and guiding the medical services records of intervention, digitization, it was resident individual that produced and recorded the intact, detailed clinical information resources in all previous course of going to a doctor of medical organization. Primary purpose at the present stage is the clinical information exchange that is met between the medical health organs of the circumscription and shares the need, realize that works in coordination with the regional hygiene of the foundation with the electronic case history with the health file.
" opinion " requires, the main content of the electronic case history should include: The summary of the case history, door are (urgent) Examine the case history record, case history record in hospital and the intersection of health and physical examination record, change the place of examination record, legal medical identification and report, the intersection of medical organization and the intersection of information,etc. and seven the intersection of business and activity record of land. Among them, must record the relevant information of the hospitalization cost in case summary.
" opinion " is pointed out, the electronic case history is individual, as the thread with residents, reason, medical service activity and relevant information recorded of pertinence getting related organically the intersection of resident and the intersection of individual and all previous the intersection of visit and time, go to a doctor in medical organization, and classify the magnanimity information recorded scientifically and describe abstractly. Main source to record content medical organization in patient(the intersection of health care and target) Offer the clinic diagnosis and instruct to intervene all kinds of medical services records (call it the operational activity record) produced in the course ,Mainly include 17 kinds, 62.
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