About accelerating population health information construction guidance 
 
 
The 2013-12-13 
 
 
No. 32 [2013] of the countries who plan 

        Provinces, autonomous regions and municipalities directly under the central government health bureaus, population and family planning commission (health and family planning commission), the administration of traditional Chinese medicine, the xinjiang production and construction corps bureau of health, population and family planning commission, the authorities in various departments, directly and contact unit: 
 
        Population health information in order to speed up the construction, improve the family planning (including traditional Chinese medicine, similarly hereinafter) health service and management level, the following opinions are put forward. 
 
        A, fully recognize the importance and urgency of population health informatization construction 
 
        Informationization is the innovation of the economic and social development driving force. Population health informatization is the key areas of national informatization construction and an important part, is the important content of deepening the reform of medical health system, is national one of quality of life and the symbol of comprehensive strength of the country. 
 
        In recent years, in the correct leadership of the CPC central committee and the state council and relevant departments under the strong support, through the untiring efforts of the whole system, population health information construction in our country the all-round, rapid development, in order to improve the management level family planning services and health played an important role. Covering urban and rural areas of infectious disease and public health emergencies reporting network established comprehensive, clinical application and the construction of the electronic medical record as the main content of the important progress was made in hospital information construction, the remote consultation system is taking shape, grassroots medical and health management information system application promotion accelerated, residential health card pilot results began to emerge, the information standard and development of the security system is increasingly perfect, more than 150 standards and safety norms preliminary meet the demand of the current population health information construction, parts of establish information platform at the provincial level and city and county area information platform, regional health information sharing and cross-regional business synergy gradually deepened. The national and provincial total population information database covering a population of 1.3 billion, to support business information collection, population and family planning and population decision three applications, forming data concentration, applied upward downward extension service mode, explore the family planning service management information of cross-sectoral, cross-regional interaction and sharing, promote the family planning services and management from the extensive to the intensification of transformation. 
 
        But the population health information construction still face need to solve the problem. Needs to integrate health family planning information system, enlarge the coverage area information platform, and improve the level of networking, to achieve interconnection and interflow, information sharing and business collaboration system, improve the health to family planning service ability and level, improve the masses go to a doctor. Need to change the types of medical institutions of traditional Chinese medicine informatization construction weak state, promote the balanced development of all kinds of informatization construction of medical and health institutions. Need to improve data integration, information resources comprehensive utilization level, improve the ability of scientific decision support. Needs to further strengthen the security system, management, personnel and funds, further perfect information standards and safety system, support information construction smoothly. 
 
        "Twelfth five-year" period is the crucial stage of deepening medical and health system reform, also is the key to establish a basic medical and health care system. Since 2013, the CPC central committee and the state council on deepening reform, accelerate the population health information made a series of major policy decisions and strategic deployment, population health information construction faces great opportunities, needs to be in whole life cycle of information technology to support the whole population, the refinement of population health services, to promote the implementation of the comprehensive well-off society population health. Promote the popularization of population health information technology application development is to promote health and family planning fusion, improve the level of service, innovate service pattern, an important means to improve the working mechanism of management, the effective realization of the goal is a matter of established health care, relates to the basic state policy of family planning effectively implement, is a matter of the scientific development of the health to family planning. Population health information construction to promote to achieve the goal of everyone will have access to basic health services has important strategic meaning and realistic meaning. 
 
        Second, the basic principles, overall frame and construction goal 
 
        (a) basic principles. According to the national informatization development strategy and the associated deployment of the state council, adhere to the "system first, the overall design, enhancing the application, Internet sharing and business collaboration" principle, closely surrounding the deepening reform, perfecting the policy family planning integration and health development, comprehensively promote population health informatization, accelerate the business system application and synergy, a sound performance evaluation and the operational mechanism, enhance the scientific decision-making, fine management and personalized service level, promote the key demonstration application, realize the industry take the lead in development. 
 
        (2) the overall framework. Overall population health information resources, strengthen the system, standard and development of the security system, effectively integrate and share the overall population information, electronic health records and electronic medical record database resources, public health, family planning, health services, health care, drug management and comprehensive management and so on six big business applications, construction of national, provincial, city and county level 4 population health information platform, with 4 platform as the six major business application of vertical and horizontal connection hub, to residents health card to enjoy the health to family planning services for the populace of the coupling medium, covering health family planning agencies at various levels (including institutions of traditional Chinese medicine, similarly hereinafter) efficient unified network, realize the business application connectivity, information sharing and effective coordination. 
 
        (3) the overall goal. Guided by the demands of business and management, with a practical, sharing and security of the population health information network system, to deepen the medical and health system reform, and effective to carry out the basic state policy of family planning, promote the development of Chinese medicine, improve the level of family planning services and health management, realize the goal of everyone will have access to basic medical and health services to provide powerful information technology support and guarantee. 
 
        (4) goals. To the end of the 12th five-year, basic implementation health family planning agencies at various levels of Internet information network security; Focusing on the area to complete the full population information, electronic health records and electronic medical record database construction, implement pilot region connectivity; Combined with the local reality, constructed four levels of information platform, to achieve six major business application, basic covers 80% of the province, 70% 70% of the cities and counties, a complete coverage of public hospital comprehensive reform pilot area; Residents health card to popularize and apply in the pilot area. 
 
        "Much starker choices-and graver consequences-in" period, carry out with a new round of information technology revolution to undertake major population health informatization construction, to strengthen the demonstration promotion, continue to deepen the key business application, realize the overall population information, electronic health records and electronic medical record database basic nationwide population sharing and integration; Completed interconnectivity of the four levels of information platform, the realization of six major business applications, business cooperation and information sharing; Residents health card, to popularize and apply the realization of "all-in-one-card". 
 
        Third, the key task 
 
        (a) sound system and unified standard system. Combined with the actual, improve the population health information management system, improve the residents' health card to popularize and apply the working mechanism and management system, perfect the regional population health information platform, the overall population information, electronic health records, electronic medical record database construction and operational management of the working mechanism, security work carried out normally. 
 
        To establish and perfect to meet the needs of business development of Chinese and western medicine, family planning scientific development, promote health data, application, management, security, and so on aspects of population health information standard system; Revising perfect overall population information, electronic health records, electronic medical record data standards and technical specifications, Chinese and western medicine unified establishing database of population health data yuan domain code, realize coordination with relevant business information standard; Perfect business terminology standard, all kinds of data sets, unified interface standards, perfect the work mechanism of informatization standard application management, promote the establishment and application of traditional Chinese medicine information standards, strengthen population health software, terminals and network related standard conformance test, and implement application evaluation standard, to ensure that the population health information system standard unified, effective communication and sustainable development. 
 
        (2) three main database construction as a whole. 
 
        To facilitate the construction of the overall population information database and application, the realization of real-time dynamic management of the overall population information, population and economic society, resources and environment in order to promote comprehensive, balanced and sustainable development to provide decision-making basis. 
 
        Promote residents electronic health records database construction and application. Improve the residents' electronic health records database, grassroots health support area family planning information dynamic sharing and business collaboration between institutions, enhance the level of public health and basic medical and health services, meet the residents' personal health records information query, enhance the capacity of self health care and health management, improve the health level. 
 
        To facilitate the construction of electronic medical records of Chinese and western medicine and the application. With the electronic medical record of Chinese and western medicine as the core to realize hospital internal information resources integration and sharing, improve the efficiency and quality of medical treatment service, strengthen the supervision of public hospital behavior and reflect the public welfare. Residents through regional information platform to realize the basic health information and check the inspection result, medical imaging, medical records and other information sharing between medical institutions and implementation of residents electronic health records and electronic medical records in the area of real-time dynamic update, improve the quality of data. 
 
        Total population information, electronic health records and electronic medical record database are relatively independent and interconnected, in ensuring the consistency of the three basic information database, accuracy, integrity, avoid long, on the basis of repeated collection, external departments authorized to implement information sharing and internal effective enhance the level of clinical and basic medical science research and achieve comprehensive development and utilization of information resources and information sharing, support population health strategy and the fine service management. 
 
        (3) the overall construction of six major business application system. Family planning the overall construction and deepen health business in the field of public health, family planning, health services, health care, drug management, comprehensive management and so on six big key business application system, fully use of big data, cloud computing, networking, networking, smart card, etc. New technology, effectively enhance the level of population health informatization business application. 
 
        To strengthen the construction of public health information system, the realization of hierarchical management, data synchronization, collaborative applications. Perfect for disease control and prevention, health education, maternal and child health, food safety, blood management, comprehensive supervision, public health emergency decision information system, improve business ability, accelerate the construction of family planning portals and health service hotline, promote equal basic public health services. 
 
        To strengthen the construction of family planning information system. Improve the birth population information acquisition and monitoring and early warning mechanism, realize the service management of the floating population cross-regional business collaboration, to strengthen the comprehensive sex ratio at birth population and family planning interests guidance policy implementation, carry out family planning administration according to law and convenient service, promote family development ability, strengthen population and family planning target management responsibility system, promoting the development of population and family planning work transition. 
 
        To strengthen the construction of medical service information system, to promote Chinese and western emr application and telemedicine, optimize medical service process, standardize medical service, use informationization to improve medical service quality and efficiency, ensure medical safety, convenient to the masses to see. 
 
        Perfect health care information system in the health to family planning the application of the industry, promote the medical information sharing, health care system. New farmers to speed up the perfect information system, improve the efficiency of new agricultural fund supervision level and use, convenient long-distance medical ginseng to farmers and instant knot, strengthened the national new farming and business operation monitoring and information decision support. 
 
        Improve the medical institutions and drug supply to ensure public health institutions application information system, support basic drug management and use, support of drugs and medical equipment bidding procurement, logistics, distribution, use, management, strengthening regulation in a timely manner. 
 
        Improve the comprehensive management information system, improve the timeliness and accuracy of population health information data acquisition, improve the information data statistical analysis and application ability, for the health to family planning agencies at various levels and business work fine management, financial management, internal operation, effective support health family planning strategy and policy planning. 
 
        (4) constructed four levels of information platform. Fusion construction standard unified, open, organic docking, classification management, safe and reliable state, provincial, city and county level 4 population health information platform. 
 
        Around according to the service population and regional characteristics, adjust measures to local conditions, reasonable planning, information platform construction of cities and county area, unicom area health family planning institutions of various types of information systems, to serve the people as the center, to support the public health, family planning, medical services, medical care, drug management and comprehensive management, and other business applications, support remote consultation, make an appointment, two-way referral, health consulting services, prevention and control of infectious diseases, vaccination, focus on mental disorders such as reports and management, realize the electronic medical record and electronic health records information updated in real time, meet the demand of residents access to personal health records. Support area medical and health personnel performance appraisal, health, family planning services, such as drug use regulation fine management. Unicom provincial information platform, and meet the demand of cross-regional business together. 
 
        Provincial information platform data synchronization is derived from the mainland area city, county level information platform, the formation of the province (area, city) residents of electronic health records index library, realize the statistical analysis of the function of meet the business requirements, support the integrated management and scientific decision, support cross-regional information query and six major business application together. Relying on the provincial total population information database services for and management of the implementation of family planning within their respective jurisdictions. The allied countries platform, meet the demand of cross-regional business collaboration. 
 
        National platform data mainly comes from the provincial platform, overall management, disease prevention and control of traditional Chinese medicine, maternal and child health, comprehensive supervision and family planning, new farming and management functions such as emergency command. Relying on the information resource database and multiple themes, implement the national population health information data mining and comprehensive analysis, support national population health management and decision-making, support across different provinces, areas of business information sharing and business collaboration. Foreign authorized to achieve docking with the relevant departments of the information system and information sharing. 
 
        Population health information network (5) accelerate the unified construction of sharing and connectivity. Population health informatization construction is the focus of the connectivity, information sharing, achieve business mutually synergy health family planning, centralized data information resources at the same time, giving full play to the advantages of big data applications, effective improve the population health scientific decision and management service level. In countries outside the e-government network backbone, a variety of communication networks as the supplement, build and Internet security isolation, in longitudinal and transverse to the edge to the end, high efficiency, stable population health information network, steadily expanding network coverage, promote four levels of information platform, platform, and health to family planning agencies at various levels and the information system of interconnectivity, accelerate the industry to share information exchange and business cooperation. 
 
        (6) we will speed up the establishment of a resident health card and application. To residents health card for coupling medium, relying on level 4 population health information platform, effective sharing total population information, electronic health records, electronic medical records. Insist on the residents health card's exclusive, gm, interactive and open function, realize the residents identification, basic health information is stored, cross-regional interagency and expense settlement, promote residents' personal electronic health information dynamic real-time updates, strengthening the management of personal health and disease surveillance, structure optimization, standardize, share, diagnosis and treatment process of mutual trust, continuous, high efficiency, convenient for residents to enjoy convenient health family planning services. 
 
        (7) to strengthen construction of information security protection system. To carry out national information security rank protection system, protection system and information security censorship, synchronized planning and design of synchronization, synchronization, the implementation of population health information system (platform) safety construction. Improve the safety management mechanism and system, strengthening the construction of information security protection system, strengthen the disaster backup job, make sure the system running security and information security. Implementation of electronic authentication technology based online trust system, establish a unified, mutual recognition of CA certification system, to ensure the safety of business applications. Improving the people privacy information security system construction, realizes the information sharing and privacy protection. 
 
        Fourth, key projects 
 
        (a) promoting "universal health care informatization engineering" and "golden project". In accordance with the "twelfth five-year" national informationization project construction plan, construction of the national health security information engineering, the implementation of relevant government departments for public health information sharing and business collaboration, improve the public health emergency response capacity, major disease prevention and control ability, food safety, comprehensive supervision and public health security ability, and grassroots medical and health service ability, improve the supervision and administration of medical and health undertakings administrative levels, improve the ability of remote medical service, promote the equalization of basic public health services, meet the people diverse medical and health services needs. Focus on improve the disease prevention and control network as the main body of the coordination of Chinese and western medicine public health information system; On the food safety risk monitoring and evaluation as the main body of the food safety information system; Establish and improve public health, medical services covering urban and rural, family planning and other integrated supervision information system; Establish supply and use of essential medicines procurement management, residents' health management function such as navigation and performance evaluation, diagnosis and treatment of grassroots medical and health management system; Maternal and child health monitoring, maternal and child health management, reproductive health services such as maternal and child health service information system; To establish urban and rural residents, with emphasis on the electronic health records and electronic medical records of Chinese and western medicine, construction support upper and lower linkage, health care medicine hospital medical business collaboration at all levels, residents' health monitoring consulting medical health information system of public service, and support collaboration classification of medical institutions and health care, cost check, instant settlement; Construction of the basic drug system management information system and basic medical and health service quality and performance evaluation of information systems. 
 
        To promote the national and provincial total population as a whole management information system (" gold engineering "). Strengthen the employee population information as independent sampling, business to handle the collection and sharing, strengthen the management of population and family planning services. Establish and improve the national and provincial total population data center, form a unified standard, update, timely and accurate total population as a whole management of information resources; To promote family planning management of public service, the basic realization of the national family planning among the floating population information fast query and long-distance rush; Establish birth population and medical certificate of birth registration information system, to carry out the birth population information monitoring, promote the comprehensive sex ratio at birth; Exploration in family as the main body of information management, strengthen the interest orientation, the family planning policy implementation such as population aging; Auxiliary decision support system, strengthen the population policy to strengthen the population, quality, structure and dynamic distribution and family development ability, the relationship between social development major issues such as population urbanization dynamic monitoring, analysis and evaluation, and scientific forecast, to improve the family planning policy to provide information support and scientific basis. 
 
        Comprehensively promote two engineering construction, as a whole business requirements, and data sharing infrastructure, to promote the integration of software and hardware matching, information and data applications. 
 
        (2) the implementation of huimin engineering information. According to the several opinions of the state council on promoting the information consumption to expand domestic demand ", remote medical treatment and residents health card construction in huimin engineering information. One is the construction of national remote medical services system and remote medical service information system at the provincial level and realize the connectivity between the remote medical treatment system. Integration of remote medical service resources, to provide remote consultation, remote image pathology diagnosis, remote ecg diagnosis, remote diagnosis, remote monitoring, remote education and so on remote medical service. The second is to popularize and apply residents health card. To speed up the large medical institutions and new farming, ginseng to at-risk groups, newborn group, occupational health, unpaid blood donors and other population distribution and application of serving the people, the benefit to the people. The issuance of the inhabitants health card usage in the hospital level evaluation appraisal indicators. 
 
        (3) the promotion of regional population health information demonstration. On the successful experience of national large and medium-sized city promotion area population health information, relying on the residents health card and medical and health workers performance KaoHeKa (CA electronic certification), promote the regional population health information sharing and business collaboration, innovation resource intensive, process science, service specification of health service mode, residents can get high quality medical and health services, cultivate residents health management idea, improve hospital experience, improve the internal management and external supervision, performance appraisal, the government compensation as the core of the regulatory system, form the whole demonstration effect. 
 
        (4) accelerate the existing informatization construction. Continue to strengthen the construction of the provincial population health informatization integrated work, promote residents electronic health records, electronic medical records, outpatient service management as a whole, speed up the information platform of integrated management of provincial and regional information platform construction, implement all kinds of medical and health institutions at various levels, interconnection. Push to provinces (autonomous regions and municipalities) as the unit construction unified basic medical and health institutions management information system, realize the basic drug bidding purchase supplies, building residents health management, public health surveillance and services, standardization of diagnosis and treatment, the basic function such as performance appraisal management information system, improve grassroots health institutions standardized service quality and level. Accelerate the construction of medical institutions and drug electronic monitoring system, medical institutions and institutions for disease control in the whole process of the internal medicine (vaccine) with regulation. 
 
        (5) strengthening the construction of public emergency health emergency information. In accordance with the national emergency system construction "twelfth five-year" plan ", relying on the existing basis, to strengthen the construction of health emergency command decision information system and mobile emergency command platform construction, improve the health emergency preparedness, monitoring and emergency response information data collection, analysis and study ability, realize the health emergency on-duty, early warning and evaluating, auxiliary decision-making, on-site command, long-distance consultation, team and supplies effective management and scheduling, construction of national, provincial, city and county connectivity between, information sharing and responsive health emergency command system. 
 
        (6) of TCM service informatization construction. Based on a level 4 population health information platform, the realization of family planning business cooperation, information sharing and health of Chinese medicine. The construction of e-government, comprehensive statistics of Chinese medicine, prevention, health care (not cure disease) system, strengthening the hospital, community health service center of traditional Chinese medicine electronic medical records and medical information system of Chinese and western medicine. Continue to conduct Chinese medicine resources based data service and dynamic monitoring information system construction. Enhance the capacity of national medical informatization construction step by step. 
 
        Five, safeguard measures 
 
        (a) establish overall coordination mechanism. At all levels should attach great importance to the family planning administrative department of public health, strengthen the leadership, establish and improve the population health information management organizations and professional bodies, clear business departments and agencies of informatization construction job responsibilities and tasks. To strengthen information construction around the business guidance and supervision and evaluation, information construction effect should be brought into the assessment of annual target. To strengthen the communication and coordination with relevant departments, for support on policy, establishment, etc, provide a solid guarantee for population health information work. 
 
        (2) to strengthen the institutional guarantee and the talent team construction. Form the effective mechanism of population health information management and complete system of rules and regulations, to ensure the high-efficiency and control of the population health information construction at all levels and orderly. Focus on strengthening the construction of talent team, especially high-end are in urgent need of talents and the cultivation of practical personnel at the grass-roots level, establish business training evaluation and title appraisal system, to establish system of card mount guard, gradually form a stable and sustainable compound personnel cultivation, management and security system. 
 
        (3) increasing investment. The family planning administrative department of public health at all levels should be comprehensive arrangement using informatization construction fund. To jointly with the national development and reform, finance, information management departments, increasing the financial input in population health information construction and scientific research funds, the key guarantee each major project construction and the system of financial investment operations, ensure sustained and in-depth population health information construction. 
 
        (4) improve the systems and mechanisms. Perfect information to manage, each business unit the work mechanism of collaboration. To establish the government as a whole, department leadership, social participation, for the convenience of huimin, population health information construction model of win-win cooperation. Make full use of existing information resources, strengthen the professional consultancy, domestic research institutions and related with independent intellectual property rights of well-known enterprises to carry out strategic cooperation. Give full play to their role as the information society association, explore to establish industry software evaluation and access mechanism. 

The national health and family planning commission of the state administration of traditional Chinese medicine
 
On November 20, 2013