General office of the state council on promoting and regulating health care data application development guidance

The national health and family planning commission of the People's Republic of China

The 2016-06-24

Countries do hair [2016] no. 47

The provinces, autonomous regions and municipalities directly under the central government, ministries under the state council, directly affiliated institutions:

Health care big data is the national important basic strategic resources. Health medical data application development will bring the profound change of the medical model, deepen the reform of medical health system is helpful to stimulate motivation and energy, improve efficiency and quality health care services, expand the supply of resources, constantly meet people's multilevel and diversified health needs, is conducive to cultivate new formats and economic growth. To implement the action program for big data issued by the state council on promoting the development of circular (guo fa [2015] no. 50) requirements, comply with the trend of emerging information technology development, specification and to promote health care data fusion application sharing, open, agreed to by the state council, we put forward the following opinions.

One, the guiding ideology, basic principle and development goals

(a) the guiding ideology. In-depth implementation of the party's eighteen big eighteen class 3, 4, and fifth plenary session of the spirit, firmly establish and earnestly implement the innovation, the coordination, the development of green, open, sharing ideas, in accordance with the party central committee and the state council decision deployment, plays a decisive role in the allocation of resources, better give play to the role of the government, in order to ensure the people's health as a starting point, to strengthen the top-level design, laying solid foundation at the grass-roots level, perfect the policy system, the working mechanism of innovation, and vigorously promote the government health care information system and Internet integration, open sharing of public health data, eliminate information islands, actively create a health promoting medical big data security standard, the development of innovative applications environment, through the "Internet + health care" to explore new service pattern, cultivating the development of new formats, strive to build a people's satisfaction of medical and health cause, to create healthy China, build a well-off society in an all-round way and realize the great rejuvenation of the Chinese nation the Chinese dream to provide strong support.

(2) the basic principles.

Adhere to the people-oriented, innovation drive. Health care large data application development into the state's major strategic layout, promoting political implication with joint collaborative innovation, strengthen the basic research and the core technology research and prominent health key areas and crucial links, using big data develop service channel, extension and enriched the contents of the service and better meet the demand of people's health.

Adhere to the norms and orderly, safe and controllable. Open, establish and improve the health care big data protection laws and regulations, strengthen the standard and security system construction, strengthen the safety management responsibility, properly deal with the relationship between the application development and ensure safety, strengthen safety technical support ability, effectively protect personal privacy and information security.

Adhere to the open integration and sharing. Encourage the government and social force cooperation, adhere to the overall planning, far or near, demonstration lead, pay attention to revitalize, integrate existing resources, promote the parties support, in accordance with the open, the convenience and benefit, the booming good situation, fully release data bonuses, arouse public entrepreneurship, innovation vitality.

(3) the development goals. By the end of 2017, the national and provincial population health information platform as well as the national drug bidding procurement business application platform, interconnection, basically in place across departments health data resources share a common pattern. Built in 2020, national healthcare information classification and open application platform, with basic data such as population, a legal person, the space geographic resources sharing cross-sectoral, cross-regional, medical treatment, medicine, health care and health related data fusion each significant results were obtained in the application; As a whole the area layout, relying on existing resources to build 100 regional data demonstration center of clinical medicine, basic implementation of urban and rural residents have standardized electronic health records and fully functional health card, health care data related policies and regulations, safety protection, the application standards system constantly improve, to adapt to the situation of health care data application development model basic establishment, health care data industry system preliminary formation, the vigorous development of new forms, the people get more benefits.

Second, the key task and major projects

(a) strengthen the health care data application base.

1. To speed up the construction of unified authority and interconnectivity population health information platform. Implement universal health care information engineering, according to the principle of safety first, protect privacy, fully rely on outside the country e-government network and unified data sharing platform for exchange, expanding existing facilities and resources, completed each Shared the national, provincial, city and county level 4 population health information platform, strengthen the public health, family planning, health services, health care, drug supply, such as integrated management information system data acquisition, integration, sharing and business collaboration. Innovation management mode, to promote birth registration online. Eliminating barriers, open the data sharing between departments, regional, industry channels, explore the social health care data communication mechanism, promote health care data gathered, business matters the platform in the platform to handle, government decision-making based on platform support.

2. Good health for open data resource sharing. Encourage all kinds of medical and health institutions to promote health care data collection, storage, application support and operational technical support, through the data resource sharing channels. To speed up the construction and improvement of residents to electronic health records, electronic medical records and electronic prescription, etc as the core of the underlying database. Set up family planning, health and education of traditional Chinese medicine, science and technology, ministry of industry and information technology, public security, civil affairs, human resources, social security, environmental protection, agriculture, commerce, safety supervision, inspection and quarantine, food and drug supervision, sports, statistics, travel, weather, insurance regulation, disabled persons' federation across departments close cooperation, such as health care data sharing mechanism of uniformly. Explore propulsion wearable devices, intelligent electronic health products, health care data resources of norms such as mobile applications access population health information platform. Set up national health data resources directory system, make classification and grading, health policy specification data open application domain, steadily promote health open big data.

(2) comprehensively deepen health big data applications.

3. To promote health care industry government big data applications. Strengthen monitoring we will deepen reform of the medical and health system evaluation, strengthen the residents' health status, and other important data accurate statistics and prediction evaluation, strong support health China construction planning and decision making. The integrated use of health care data resources and information technology, improve the hospital evaluation system, promote the deepening the reform of public hospitals, improve the system of modern hospital management, layout optimization of medical and health resources. Strengthen the supervision of medical institutions, perfect for medical treatment, medicines and chemical reagents, consumables and other incomes and changing trend of monitoring mechanism, cooperative medical service price, payment, drug bidding procurement, drug use, such as business information, boost medical treatment, health care, medical reform of linkage.

4. Promote a healthy medical clinical and scientific research data applications. Relying on existing resources to build a batch of heart head blood-vessel, cancer, aging and pediatric data demonstration center of clinical medicine, such as integrated medical big country such as genomics, proteomics data resources, construction of clinical decision support system. Promote the gene chip and sequencing technology in genetic diseases diagnosis, cancer, early diagnosis and application of disease prevention, strengthen population genetic information security management, promoting the development of precision medical technology. Around the major disease clinical drug development, the industrialization of drug common key technologies such as demand, establish drug side effects prediction, innovative drug development mechanism of sharing data fusion. Make full use of the advantages of resources, optimization of biomedical data layout, relying on the state of clinical medicine research center and collaborative research network, resource integration system to strengthen the clinical and scientific research data sharing, improve medical scientific research and application efficiency, promoting the development of medical wisdom.

5. To promote public health big data applications. To strengthen the construction of public health service information system, perfect the national immunization programmes, the network straight newspaper, network port of first aid, occupational disease prevention and control, public health risk early warning and decision information system and mobile emergency services platform applications such as function, promote the medical and public health agencies, and the port inspection and quarantine institutions of information sharing and business collaboration, improve public health monitoring and evaluation and decision-making management ability. Integration of social network of public information resources, improve the disease sensitive information early warning mechanism, timely grasp and dynamic analysis of the whole crowd disease trends and international public health risks, such as the global epidemic of infectious diseases information to improve public health emergency early warning and emergency response capability. Integrated environmental health, drinking water, health hazard factors, port medical media biological and biochemical monitoring data in many ways, such as nuclear effective evaluation of the social factors that affect health. To carry out the key infectious, occupational disease, port input medium of sexually transmitted diseases and medical biological monitoring, integrating multi-source monitoring data of infectious diseases, occupational diseases, set up laboratory pathogen detection results quickly identify network system, major disease of effective prevention and control. To promote disease risk monitoring and evaluation and maternal and child health care, elderly care, intelligent applications, such as international travel health care popularize health way of life.

6. Cultivate new formats health big data applications. Strengthen health mass data storage cleaning, key technology research for analysis of mining, security, privacy protection and so on. Actively encourage health care business innovation development, social forces to promote health care business and big data depth fusion technology, speed up the building health care data industry chain, constantly promoting health and keeping in good health, pension and domestic service industry coordinated development. Home health information services, the standard online pharmacies and medicine third-party logistics and distribution services, to promote Chinese medicine keeping in good health, health, pension and health management, health advice, health, culture and sports fitness, health tourism, health, environment, health and diet industry development.

7. Develop promotion of digital health smart devices. Support the development of health care related artificial intelligence technology, biological three-dimensional (3 d) printing technology, medical robot, large medical equipment, auxiliary equipment, wearable health and rehabilitation equipment and related micro sensor. To speed up the transformation of research achievements, and improve the digital medical equipment, Internet equipment, intelligent health products, functional status of traditional Chinese medicine examination and health care equipment manufacturing level, promote health intelligent equipment industrial upgrading.

(3) the specification and to promote "Internet + health care services.

8. The development of health service for the convenience of huimin wisdom. Play a leading role of excellent medical resources, encourage social forces to participate in, the integration of online resources, standardize medical networking and health application (APP) management, vigorously promoting Internet health consulting, online booking triage, mobile payment and check the inspection result query, follow-up tracking applications, such as optimizing the norm, sharing, mutual trust and treatment processes. To explore the Internet health care service model. Residents on the basis of signing the family doctor service, promote the healthy card, social security card application integration, such as activation of resident application electronic health records, promote whole life cycle of prevention, treatment, rehabilitation and health management integration, electronic health services.

9. Establish telemedicine application system in an all-round way. Implement health China cloud service plan, construction of health service integration platform, to provide remote consultation, remote imaging, pathology, remote remote ecg diagnosis service, improve the check mechanism of sharing mutual recognition of test results. Promote large hospital and grassroots health institutions, general practitioners and specialists data resource sharing and business collaboration, improve the classification based on the technology of Internet, big data medical information system, outspread enlarge healthcare agency service ability, targeted to promote "center of gravity down, resource sink".

10. To promote health education training application. Support to establish on the basis of the national Open University health care, Chinese health education lesson for alliance cloud platform for support of the health education training, in order to encourage the development of lesson for health care training textbooks, exploring new Internet teaching pattern and method, build high-quality teachers promote open network medical education resources sharing and online interaction, remote training, remote surgery teaching, learning evaluation, such as application, medical personnel and lifelong education, improving the capacity of grassroots medical and health services.

(4) to strengthen the construction of health big data security system.

11. To strengthen the construction of laws and regulations and standard system. Formulated to improve health care data application development of laws and regulations, strengthening the management of residents' health information service specifications and clear access to information, effectively protecting the legal rights and interests of the parties involved. Improve data open sharing support service system, to establish "grading authorization, classification, application, and with responsibility" management system. Standard health care access standard in the field of big data applications, set up big data application integrity and exit mechanism, strictly regulate the behavior of large data, application development, mining. Establish common disease diagnosis codes, clinical medical terminology, inspection norms, drug application code, data interface and transmission protocol and other related standards, to promote health care data products, services, process standardization.

12. Promoting the construction of trusted network system. Strengthening health medical digital identity management, construction of unified national identity of medical and health personnel and medical and health institutions credible medical digital identity and electronic real-name authentication, data access control information system, actively promote the electronic signature application, gradually establish a service management in evidence can be traced back to the safe operation of the data, diagnosis and treatment, collaborative participation in health care management new pattern.

13. To strengthen the health care data security. Accelerate the construction of health and medical data security system, set up data security management responsibility system, formulate identification assigned code, scientific classification, risk classification, safety review rules. On population health information security planning, strengthen the national, regional population health information engineering technical ability, pay attention to safety and technology content, ensure national key information infrastructure and the core system of autonomous control safety. Big data platform and service reliability, controllability and the safety evaluation and application of safety evaluation and risk assessment, security protection, system interconnection and sharing, citizen privacy protection software evaluation and safety review system. To improve the security of big data monitoring and early warning, the establishment of safety information bulletin and emergency linkage mechanism, establish and improve the "Internet + health service security mechanism, perfect the risk hidden trouble to resolve and response measures, strengthen the involving state interests, public safety, patient privacy, the protection of commercial secrets, and other important information, strengthen the security of medical, scientific research institutions, etc.

14. To strengthen the construction of health informatization inter-disciplinary talent team. The implementation of the national health care information talent development plan, strengthen medical informatics discipline construction and developing the "digital doctor", strive to cultivate high-level, research and development of talents and scientific research team, training specialized personnel in a batch of have the international influence, the leader and leader of the industry. Innovation professionals continue education form, perfect multi-level and multi-type cultivation of talents training system, promoting the government and institutions of higher learning, scientific research institutes, medical institutions and enterprises jointly develop talent, promote health big data talent team construction.

Third, strengthen the organization to implement

(a) to strengthen the overall planning. Leadership, the party committees and governments to establish participating forward, resource sharing, collaborative work pattern. The national health and family planning commission to be integrated as a whole, strengthening the implementation of the relevant departments should cooperate closely, forming resultant force, promote the key task to implement. Each region should attach importance to health care data application development, earnestly do a good job in the overall planning, infrastructure, safety supervision, to ensure that all tasks measures into effect. To promote health care data civil-military integration development, promote the flexibly health data specification cohesion, sharing and collaborative applications. To strengthen the guidance of health data application development, strengthen the technology development and application of new building and promote the overall coordination, establish expert committee, to organize the study development strategy and related policy, regulations and standards.

(2) focusing on breakthrough. From the field of people's urgent needs, the key advance online booking triage, remote medical treatment and check the inspection result convenient huimin application sharing mutual recognition. Accelerate the basic medical insurance nationwide network and long-distance medical settlement. Support the development of the medical intelligent equipment, intelligent wearable devices, strengthen the key aspects of research such as refractory disease. Select a group of good basic condition, high work enthusiasm, privacy, security is guaranteed pilot region and applications in health care data, summarize experience, solid foundation.

(3) intensify policy support. Research of government support policy, taxation, investment, innovation of health care necessary to support large data application development. Promote use of the government and social capital (PPP) model of cooperation, encourage and guide the social capital to participate in health care big data infrastructure, application, development and operation service. Encourage cooperation between the government and the enterprises and institutions, social organizations, exploring the way through the government procurement, social crowdsourcing, implement health care field of big data integration of government and social application. Give full play to the related investment fund, has set up a fully arouse social capital and private capital participation enthusiasm, encourage innovation of multiple investment mechanism, a sound system of risk prevention and supervision, support the development of the health care big data applications.

(4) strengthen policy propaganda popularization. Strengthen health policy interpretation data application development, vigorously promote the significance and application prospect of application development, actively response to social concerns, form a good social atmosphere. Actively guide the medical and health institutions and social forces to carry out various forms of popular science activities, popularizing health care data application knowledge, encourage the development of simple digital medical tools, improving the people master relevant application ability and the social public health literacy.

(5) to promote international exchanges and cooperation. In order for promoting the development of the health care big data applications talent technology exchanges and cooperation. Encourage the relevant enterprises and scientific research units to carry out the international advanced technology introduction, digestion, absorption and re-innovation, promoting the development of autonomous technology in China and global synchronization. Increase of international health care data tracking, assessment of the application standard and transformation efforts, actively participate in international standards, strengthen the notion of related rules. Adhere to I give priority to, strengthen supervision, to ensure that the security principle, explore international health steadily big data applications development new pattern of cooperation, constantly enhance the level of health care in our country big data applications, industry core competitiveness and international level.

The state council general office

On June 21, 2016