基于医院电子病历直推的传染病疫情报告与管理信息系统的实践
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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1.23 min和2.82 min,差异有统计学意义(U=186 809.500,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.
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.
引文
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[2]冯玮,王晔,宫霄欢,等.上海市基于电子病历直推的传染病报告管理模式初探[J].疾病监测,2016,31(4):341-345.DOI:10.3784/j.issn.1003-9961.2016.04.018.Feng W,Wang Y,Gong XH,et al.Study of management of autoreporting of communicable diseases based on electronic medical records in Shanghai[J].Dis Surveill,2016,31(4):341-345.DOI:10.3784/j.issn.1003-9961.2016.04.018.
[3]夏寒,吴凡,夏天.智能插件在公共卫生领域的应用研究[J].中国卫生信息管理杂志,2016,13(4):410-413.DOI:10.3969/j.issn.1672-5166.2016.04.016.Xia H,Wu F,Xia T.Study on application of intelligent plug-in in public health field[J].Chin J Health Inform Manag,2016,13(4):410-413.DOI:10.3969/j.issn.1672-5166.2016.04.016.
[4]陈明亭,杨功焕.我国疾病监测的历史与发展趋势[J].疾病监测,2005,20(3):113-114.DOI:10.3784/j.issn.1003-9961.2005.03.001.Chen MT,Yang GH.The history and developing trend of disease surveillance in China[J].Dis Surveill,2005,20(3):113-114.DOI:10.3784/j.issn.1003-9961.2005.03.001.
[5]史芸萍,韦再华,刘洋,等.2015年北京市法定传染病报告质量和管理现状调查[J].首都公共卫生,2016,10(4):189-192.DOI:10.16760/j.cnki.sdggws.2016.04.015.Shi YP,Wei ZH,Liu Y,et al.The quality and management of notifiable communicable disease reporting in Beijing,2015[J].Cap J Public Health,2016,10(4):189-192.DOI:10.16760/j.cnki.sdggws.2016.04.015.
[6]张磊.传染病网络直报覆盖到三沙[EB/OL].(2018-02-06)[2018-12-20].http://szb.jkb.com.cn/jkbpaper/html/2018-02/06/content_206890.html.Zhang L.The national infectious disease reporting system covers Sansha[EB/OL].(2018-02-06)[2018-12-20].http://szb.jkb.com.cn/jkbpaper/html/2018-02/06/content_206890.html.
[7]陈秀云,舒波,王曼,等.2010-2012年中山市医疗机构法定传染病报告质量调查分析[J].华南预防医学,2013,39(3):65-67.Chen XY,Shu B,Wang M,et al.Reporting quality of notifiable communicable diseases in hospitals in Zhongshan,2010-2012[J].South China J Prev Med,2013,39(3):65-67.
[8]戴启刚,李媛,胡建利,等.2009-2011年江苏省传染病报告与管理工作质量评估及影响因素探讨[J].疾病监测,2013,28(7):575-578.DOI:10.3784/j.issn.1003-9961.2013.7.017.Dai QG,Li Y,Hu JL,et al.Evaluation of reporting and management of communicable diseases in Jiangsu,2009-2011[J].Dis Surveill,2013,28(7):575-578.DOI:10.3784/j.issn.1003-9961.2013.7.017.
[9]金丽珠,葛辉,杜雪杰,等.2015年全国医疗机构法定传染病报告质量调查分析[J].疾病监测,2016,31(10):883-886.DOI:10.3784/j.issn.1003-9961.2016.10.019.Jin LZ,Ge H,Du XJ,et al.Reporting quality of notifiable communicable diseases in hospitals in China,2015[J].Dis Surveill,2016,31(10):883-886.DOI:10.3784/j.issn.1003-9961.2016.10.019.
[10]王卫军,欧柱宁.广西钦州市传染病报告系统对传染病报告质量的影响[J].公共卫生与预防医学,2016,27(5):19-21.Wang WJ,Ou ZN.Evaluation of the disease reporting system on the quality of infectious diseases reporting in Qinzhou city,Guangxi[J].J Pub Health Prev Med,2016,27(5):19-21.
[11]张良,董红军,陈奕,等.宁波市传染病智能平台直报模式实践[J].中国公共卫生管理,2017,33(2):205-207.DOI:10.19568/j.cnki.23-1318.2017.02.017.Zhang L,Dong HJ,Chen Y,et al.Practice of intelligence platform of pattern for infectious diseases,Ningbo[J].Chin J PHM,2017,33(2):205-207.DOI:10.19568/j.cnki.23-1318.2017.02.017.
[12]谢桦,谢维.上海区域卫生信息化建设的设计与实践[J].中国卫生信息管理杂志,2012,9(5):11-13,35.DOI:10.3969/j.issn.1672-5166.2012.05.002.Xie H,Xie W.Regional health informationization in Shanghai:concepts and practice[J].Chin J Health Inform Manag,2012,9(5):11-13,35.DOI:10.3969/j.issn.1672-5166.2012.05.002.
[13]Khoury MJ,Ioannidis JPA.Big data meets public health[J].Science,2014,346(6213):1054-1055.DOI:10.1126/science.aaa2709.
[14]徐蔚琦.基于区域卫生信息平台的疾病预防控制系统推进应用评价[J].上海预防医学,2017,29(7):575-577.DOI:10.19428/j.cnki.sjpm.2017.07.019.Xu WQ.Evaluation of promoting application of disease prevention and control system based on regional health information platform[J].Shanghai J Prev Med,2017,29(7):575-577.DOI:10.19428/j.cnki.sjpm.2017.07.019.
[15]夏寒,夏天,徐建时.基于区域卫生信息平台的疾病预防控制业务应用与数据共享[J].中国卫生统计,2014,31(6):1087-1089.Xia H,Xia T,Xu JS.Application and data sharing of disease prevention and control business based on regional health information platform[J].Chin J Health Stat,2014,31(6):1087-1089.
[16]陈冬雨.统一规划、标准先行、分步实施--记上海疾病预防控制信息化建设[J].中国信息界(e医疗),2014(10):58-59.Chen DY.Unified planning,standard-advancing and constructed step by step:the information construction of disease prevention and control in Shanghai[J].E-Healthcare,2014(10):58-59.