摘要
目的探究基于电子病历直推的区域卫生信息平台的数据交换与管理模式。方法以区域平台为介质,通过智能提醒插件方式、后台基于标准化接口和页面报告3种数据交换方式,将传染病相关信息从医疗机构推送至国家传染病报告系统。结果通过平台逐级推送的方式,完成基于电子病历的智能直报。2018年10月试运行结果显示,通过医院信息管理系统(HIS)和国家传染病网络直报系统(NDRS)728例传染病报告卡比对发现,两系统传染病报告卡填写的完整率、及时率均为100%,传染病报告卡的准确性分别为99.31%、97.39%,差异有统计学意义(χ^2=8.304,P=0.004);两系统的填卡时间中位数分别为1.23min和2.82min,差异有统计学意义(U=186809.500,P=0.000)。结论该智能模式完全采用区域平台与国家传染病报告系统进行数据交换,极大地提高了传染病报告效率,减轻了医务人员的工作量,实现了数据共享共通,填补了国内该领域的空白。
Objective To explore the data exchange and management mode of regional health information platform based on electronic medical records.Methods Based on the regional health information platform,the information of communicable diseases were reported from medical institutions to the national infectious disease reporting system through 3 data exchange methods(intelligent reminding plug-in,standardized interface at background and page reporting).Results The intelligent infectious diseases reporting system based on electronic medical record was completed through the pushing step by step.The trial operation results in October 2018 showed that the success rate and consistency rate of data reporting were all higher than95.00%.The comparison of 728 communicable disease cases reporting between hospital information system and national direct reporting system indicated that the completeness rates and timeliness rates of two systems were all 100%,the accuracy rates were 99.31%,97.39% respectively,the difference was significant(χ^2=8.304,P=0.004).The medians of card filling time of the two systems were 1.23 min and 2.82 min respectively,the difference was significant(U=186 809.500,P=0.000).Conclusion The intelligent model based on regional platform to exchange data with the national infectious disease reporting system has been established,which can greatly improves the efficiency of communicable disease reporting,reduce the workload of medical staff,realize data sharing and fill the gap in the domestic field.
作者
孔园园
高桂玲
张清慧
郭晓芹
Kong Yuanyuan;Gao Guiling;Zhang Qinghui;Guo Xiaoqin(Songjiang District Center for Disease Control and Prevention,Shanghai 201620,China)
出处
《疾病监测》
CAS
2019年第6期576-580,共5页
Disease Surveillance
关键词
区域卫生信息平台
传染病报告
电子病历
直推
Regional health information platform
Communicable disease reporting
Electronic medical record
Autoreporting
作者简介
孔园园,女,江苏省南京市人,硕士研究生,主管医师,主要从事疫情管理工作,Email:snowwhite82@126.com;通信作者:郭晓芹,Tel:021-37731102,Email:guoxiaoqinl102@163.com.
