The hospital information structure, which is made up of various medical business systems, is suffering from the problems of the "information isolated island". Medical business systems in the hospital are mutually isomerous and difficult to become a whole. How to realize the internal barrier-free interaction of the patients effective medical information in the hospital and further to complete the area sharing of patients longitudinal diagnosis and treatment information has become a question having to be solved urgently in the process of healthcare informatization. Based on the HL7 standard, this paper refers to the IHE technical framework, expounds the overall structure of the interaction in the hospital internal and area sharing of medical information with the medical information exchange platform. The paper also gives the details of the whole process of the complete display of the discrete patient health information using Portal technology, which is saved in the business systems in different hospitals. It interacts internally through the information exchange platform and at last stores the information in the regional cinical data repository (CDR).
Continuous renal replacement therapy (CRRT) is one of the major treatments for critically ill patients. With the development of information technology, the informatization and artificial intelligent of CRRT has received wide attention, which has promoted the optimization of CRRT in terms of workflow, teaching method as well as scientific research. Benefiting from the big data generated, artificial intelligence is expected to be applied in the precision treatment, quality control, timing of intervention, as well as prognosis assessment in severe AKI, so as to ultimately improve the therapeutic effect of CRRT among critically ill patients. This paper summarizes the information construction of CRRT and the research progress of artificial intelligence, which can be used as a reference for practitioners in kidney disease, critical medicine, emergency medicine and other related fields.
Against the backdrop of medical digital transformation, West China Hospital of Sichuan University has conducted a 30-year exploration and practice of colorectal cancer data engineering. This study focuses on the integration of special disease digitization and value-based healthcare, achieving standardized management and in-depth mining of colorectal cancer diagnosis and treatment data through constructing a full-life cycle data governance system, multi-center data platform, and intelligent application scenarios (such as clinical decision support systems). The practical results show that this data engineering has formed a specialized disease database containing more than 9 500 cases of structured data, and promoted the collaborative development of the entire chain of “production–study–research–business–government”, providing a learnable digital paradigm for improving diagnostic and treatment accuracy and optimizing medical resource allocation. The study indicates that special disease digitization is a key path to achieving value-based healthcare, and its experience in data standardization and medical-engineering cross-innovation is of reference significance for other disease fields.
Objective To investigate the healthcare system reform in traditional Chinese medicine (TCM) hospitals in Sichuan and analyze the existing issues at this stage. Methods All public TCM hospitals in Sichuan (a total of 210) were selected to collect information through the National Comprehensive Statistical Network Direct Reporting Information System for the investigation of the healthcare system reform. The survey was conducted in July 2024, and the data collection relied on the relevant information reported by the sample hospitals from January 1st to December 31st, 2023. This study only analyzed the basic situation, staffing, TCM services, and information technology construction of TCM hospitals. Results A total of 210 survey questionnaires were collected, with a 100% response rate. The survey revealed that licensed practitioners of TCM (including licensed assistant practitioners) accounted for 59.2% of the total number of licensed practitioners, and TCM professional and technical personnel accounted for 50.4% of the total number of pharmaceutical professional and technical personnel. The median number of TCM medical technology projects carried out by the surveyed institutions was 52, the median proportion of outpatient TCM medical service income to outpatient medical income was 8.6%, and the median proportion of inpatient TCM medical service income to inpatient medical income was 13.7%. The proportion of discharged patients primarily treated with TCM was 30.6%, and the coverage rate of TCM-dominant disease types among inpatients in TCM medical institutions was 44.8%. A total of 52 institutions (24.8%) had achieved interconnectivity between prescription information and retail pharmacies, while 158 institutions (75.2%) had not. Among tertiary medical institutions, 67 had achieved level 4 in electronic medical record application functionality, while 32 were at level 3 or below. Conclusions After years of in-depth healthcare system reform, the construction and services of TCM hospitals in Sichuan have seen some development. However, there are still some shortcomings, such as insufficient TCM talent allocation, low utilization rate of TCM medical technology, unclear characteristics of TCM treatment, and low level of electronic medical record informatization. Therefore, it is necessary to further strengthen the cultivation and introduction of TCM talents, vigorously develop TCM characteristics, promote informatization construction, and promote the inheritance, innovation, and high-quality development of TCM.