《长春市结核病定点医院信息化管理平台》的设计与应用

Design and application of Tuberculosis Designated Hospital Information Management Platform in Changchun

将长春市传染病医院院内的医院信息系统(HIS系统)及所辖县/区级定点医院区域网数据衔接搭建起来,形成医疗服务一体化的《长春市结核病定点医院信息化管理平台》,以实现长春地区肺结核患者发现、管理、治疗、转归的信息化和数字化,提高结核病防控模式的运行速度。2018年开始设计并在市级定点医院(长春市传染病医院)建立市级管理平台数据中心,搭建应用服务和数据库服务,与院内HIS系统链接直接获取患者的基本信息,通过PC端完善患者的诊疗信息;同时利用并通过应用程序(APP)+微信客户端的方式,实时接收下级耐药门诊、各县/区结核病防治所11个区域网数据信息。建立VPN通道,对接省级系统平台核准国家实时数据、掌握我市疫情统计学变化。县/区级结核病防治所及耐药门诊等11个部门通过此平台可实时获取本辖区内在市级定点医院诊疗患者的完整资料,完成后续精准治疗管理。2018年12月《长春市结核病定点医院信息化管理平台》建立完成,2019年4月通过HIS系统端口及PC端口与院内局域网对接,自动储存长春市传染病医院住院部及门诊发现的肺结核患者(普通及耐药患者)的基本信息与诊疗资料。2019年9月VPN通道成功与下级耐药门诊对接,耐药门诊医生利用数据库可实时掌握新耐药患者及复诊耐药患者的基本及诊疗信息,缩短纳入管理的时间及提高治疗的精准度。

Linking up the hospital information system(HIS)in the Infectious Disease Hospital of Changchun with the data from the local network of designated hospitals at the county and district levels under its jurisdiction,and forming the Integrated Medical Service"Changchun Tuberculosis Designated Hospital Information Management Platform",so as to realize the information digitalization of tuberculosis patients’discovery,management,treatment and prognosis in Changchun area,and to improve the speed of tuberculosis prevention and control mode.In 2018,we started to design and set up the data center of the municipal management platform in the city-level designated hospitals(Changchun Infectious Disease Hospital),set up the application service and the database service,and get the basic information of patients directly from the hospital’s HIS system,at the same time,through the application(APP)+WeChat client,we can receive the data of 11 local area networks of the drug-resistant outpatient clinic and each county/district anti-drug clinic in real time.Establish VPN channel,link up with provincial system platform to verify real-time national data and grasp the statistical changes of epidemic situation in our city.Through this platform,11 departments,including county-level TB clinics and drug-resistant outpatient clinics,can obtain the complete diagnosis and treatment data of patients in designated hospitals at the municipal level in their jurisdiction in real-time,and complete the management of follow-up precise treatment.In December 2018,the Changchun Tuberculosis Designated Hospital Information Management Platform was established,and in April 2019,it was connected with the hospital area network through HIS system port and PC port,automatic storage of basic information,diagnosis and treatment of tuberculosis patients(common and drug-resistant patients)found in inpatient and out-patient departments of infectious diseases hospitals in Changchun.In September 2019,the VPN channel was successfully connected with the lower-level drug-resistant outpatient clinic,and the doctors of the drugresistant outpatient clinic could grasp the basic and clinical information of the new drug-resistant patients and the patients with drug-resistant in the follow-up visit in real time by using the database,reducing the time and cost of inclusion and improving the accuracy of treatment.