Community-based Health Record Technology And Realization Of The Residents

In the Eleventh National People's Congress meeting, Premier Wen Jiabao put forward:"To promote reform and development of health ,we must focused on four items: First, accelerating urban and rural residents in the medical security system; Second, improve the public health service system; Third,promote urban and rural medical service system; Fourth, establish a national essential drug system and the drug supply support system, ensure that the masses of basic drugs and drug safety."National Ministry of Health propose: from 2009, establish the health records of residents in the national gradually, and implement the standard management. Through the establishment of health records of residents ,the significance is not only that the residents have the aid of sick ,but also to through such a system arrangement of the equalization of basic public health services, so that the masses may not sick as much as possible, less ill, not seriously ill.Recently, the main problems of the development of China's medical and health services are irrational allocation of medical resources, advanced medical equipment and excellent health care workers are often concentrated in large cities and large hospital, but small urban and rural, small hospitals lack basic medical resources. This is the main reason of the people "medical treatment is difficult and expensive" So, establish and improve community health care services is an important way to optimize health care resource allocation ,and to ease the pressure for medical treatment.In order to establish the cooperative relations of the community-sized hospitals with the general hospitals , promote the development of the public medical industry, the Ministry of Health propose the grading health care system of "two-way referral", the community health sector establish a relationship with the general hospitals. For the common diseases in this community health sector for treatment, while more complex illness, complex diseases are turning to two class hospitals, rehabilitation may be turned to community health care sector. This can archive "minor illnesses within the community, serious illness timely referral.". The key of "Two-way referral " is both sides should to make clear of the own duty, forming the situation of promoting the advancement of medical situation, instead of the non-normal medical services that grabbing patients. "Community-based residents Health Record Technology and Implementation" is designed for community residents disease surveillance and diagnosis as well as of two-way referral system. Including online multimedia diagnosis module, specific disease diagnosis intelligent statistical and expert systems, two-way referral.Community health records system is an important component. The rigorous and meticulous management of community health files can provide the community medical agency all-around grasp the disease diagnosis and prevention. It cans also analysis the state of the resident's health situation and the change. It can efficient start on health education, prevention, health care, medical care, rehabilitation, family planning, etc., the community health services are "Six in One", it carry out the key, sensitive group, prevention of disease diagnosis and treatment and so on.Health record of community residents is the specific file information of the health status of community residents. It is also the foundation to run the services in the community medical care. Health file includes healthy information of the residents, it is different from the general hospital medical records, and it is continued, integrated, targeted personal health information. Clinically, it has highly used in the epidemiological analysis, frequently-occurring disease analysis, and analysis of health status of a group in a region. Doctor understands and masters the physical status of the residents so that he can make a rapid and accurate diagnosis in a sudden illness, greatly reducing the medical errors, the maximum save the patient's life.The system also includes intelligent doctor function, this function combine the artificial intelligence with the expert system so that it has the function of the online diagnosis. When the patient or the sub-health group is not convenient to the hospital, they can log in the intelligent doctor system; choose the existing symptoms and the severity of symptoms. The system will analysis based on the patient's choice, making a conclusion. This conclusion include whether the patient is suffering from a disease, if not ill, but what is the potential threaten and what should be pay attention in the future life. At the same time, intelligent doctors also provide preventive measures against common diseases, and so on.Currently the technology of the network has rapid developed, using modern tools of the network can provide a lot of facilities. As the geographical gap between rural and urban areas, the gap of medical resources is quite large, it is necessary to provide facility for the medical using network resources. Technology and implementation base on the residents of community health record which is discussed in this article take the advantages of the multimedia network make fully use the latest Flash ? Communication Server MX technology, and combine with the ASP.NET Web application framework of the. NET Framework to achieve the real-time interaction of the dynamic information, and establish the online multimedia disease diagnostic system which is the most important part of the resident's health records system. It makes a great convenience for local residents in medical treatment.The system needs to further consummation and improvement,especially online-diagnosis part. With the help of existing health information data warehouse, plans to introduce the system based on the probability and statistics and the neural network in the future, which is the further improvement of the system.