WS/T 529-2016Basic functions specification of telemedicine information system (English PDF)

5.1 Basic business functions

5.1.1 Remote consultation

5.1.1.1 Overview

Applicable to the invitation to apply for remote consultation with the invited party, and the invited party accepts the application, conducts remote consultation and issues diagnosis opinions and reports Cheng.

5.1.1.2 Basic functions

Basic functions include.

--Consultation appointment. filling in the consultation application form, submission and modification of consultation application, query of expert database information, organization and transmission of electronic data, Inquiries about consultation applications, etc.;

--Consultation management. consultation process management, medical record management, consultation report browsing, follow-up management, consultation service evaluation, etc.;

--Consultation service. medical record browsing, audio and video interactive medical condition discussion, whiteboard writing and interactive medical record information, consultation report compilation and release and modification, consultation report template management, etc.

5.1.2 Remote appointment

5.1.2.1 Overview

It is applicable to the process in which the inviting party completes appointment registration, appointment inspection and other operations, and the invite party completes the relevant application acceptance and information feedback process.

5.1.2.2 Basic functions

Basic functions include.

- Appointment arrangement. fill in appointment application form, schedule query and number source selection, appointment application submission and modification, patient medical record information Submission, viewing and printing of appointment forms, etc.;

- Appointment management. appointment process management, appointment process reminder, appointment record query, medical record management, etc.

5.1.3 Remote two-way referral

5.1.3.1 Overview

It is applicable to the management process of transfer-in and transfer-out patients by medical and health service institutions at all levels.

5.1.3.2 Basic functions

Basic functions include.

--Referral application. In response to referral requests for general medical treatment, other service components or system modules, submit a referral application to the designated referral institution please. It has the functions of filling in referral application form, submission and modification of referral application, inquiry of receiving institution, and inquiry of referral application;

- Referral management. Divided into forwarding management and receiving management, it supports the inviting party to cancel forwarding, print the referral form, and re-transfer out.

Support the invited party to accept or refuse the operation. With referral process management, medical record management, referral process reminder, transfer Diagnosis record query and other functions;

--Patient information feedback. the patient's discharge information can be automatically obtained from the HIS of the invitee; automatically transferred back according to the information in the referral record the inviting party, or transfer back to the community medical and health institution under the jurisdiction of the patient based on the patient's address information;

--Follow-up function. including follow-up record and follow-up plan, follow-up record query and follow-up reminder.

5.1.4 Remote image diagnosis

5.1.4.1 Overview

Applicable to the invitation to apply for remote imaging diagnosis from the invited party, and the invited party accepts the application, carries out remote imaging diagnosis and issues diagnosis opinions and the reporting process, as well as the process of centralized storage, centralized diagnosis and management of images by the imaging center composed of multiple medical institutions in the region.

5.1.4.2 Basic functions

Basic functions include.

--Application. It has the functions of filling in the application form, submitting and modifying the application, querying the diagnosis institution, and querying the application;

--Data transmission and reception. with different data transmission and reception functions;

--Image browsing, enhancement and analysis. able to browse the original image, contrast enhancement, edge enhancement, pathological feature extraction, Quantitative analysis of pathological features, capable of computer-aided diagnosis, image retrieval based on image features, etc.;

--Quality control and statistics. image quality statistics, technician evaluation, collective evaluation, report writing quality statistics, and the overall quality of the technician's image Statistics, diagnosis report, diagnosis quality statistics, etc.;

--Diagnostic report release, browse and query;

--Case study. Provide a platform for doctors to learn and improve, especially some advanced doctors and interns who can care about them the report can be searched and browsed and compared, studied and borrowed.

5.1.5 Remote ECG diagnosis

5.1.5.1 Overview

It is suitable for the invitation to apply for remote ECG diagnosis from the invited party, and the invitee accepts the application, carries out remote ECG diagnosis and issues diagnosis opinions and the reporting process and the ECG examination requirements of the 120 emergency center before the hospital.

5.1.5.2 Basic functions

Basic functions include.

--Application and appointment. accept appointment registration and examination registration of patients, as well as registration of patient examination information, application form scanning and briefing Single query statistics, and distribute patient inspection reports. It has the ability to allocate appointment time for patients, query appointments within a specified time period, Functions such as registration of patient lists, scanning and shooting of paper application forms, and seamless connection with HIS;

--Analysis and diagnosis. professional ECG doctors conduct professional analysis and diagnosis based on the data collected by the ECG equipment. With the arrival of ECG data Real-time reminder, ECG analysis, report writing and printing, medical record management and other functions;

--Report browsing and analysis. Provide clinicians with tools to browse ECG reports and ECG waveforms. The doctor can browse the workstation Embedded in the outpatient doctor's workstation, resident doctor's workstation and electronic medical record system to support the Online waveform analysis, processing, and measurement.

5.1.6 Distance medical education

5.1.6.1 Overview

It is suitable for hospitals and experts to provide basic-level doctors with business training, teaching, medical record discussion and technical support through audio, video and courseware.

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5.1.6.2 Basic functions

Basic functions include.

--Teacher management. with the functions of teacher registration, information inquiry and modification;

--Student management. with the functions of student registration, information query and modification;

--Course management. with functions such as course video query, video on demand, real-time training, etc.;

--Courseware management. with functions such as video management, courseware management, video sharing and courseware synchronization;

--Process management. It has functions such as course study plan making, course training records, and study progress inquiry;

--Credit Management. It has the functions of applying for credits and printing credit certificates.

5.2 Expand business functions

5.2.1 Remote intensive care

5.2.1.1 Overview

Applicable to the invitation to the invited party to apply and provide clinical data of critically ill patients, and the invited party to accept the application to carry out remote intensive care and the process of issuing diagnostic opinions and treatment guidelines.

5.2.1.2 Basic functions

Basic functions include.

--Application and appointment, data transmission and reception, browsing and analysis, quality control and statistics, report release and browsing, service evaluation and other processes Management function;

--Real-time collection and transmission of vital signs parameters, continuous dynamic monitoring, diagnosis suggestions, and diagnosis among inviting parties, invited parties, and patients Medical activities such as treatment recommendations;

--24h uninterrupted continuous dynamic observation, provide the invited party with real-time and continuous monitoring data of patients, and provide early warning and warning of abnormal conditions Report role

--Regular functions such as storage and management of vital signs parameters, including data recording, management, query, and statistical functions;

--The patient's bedside video conference function facilitates remote interactive communication between experts, applying doctors and patients;

--Experts can remotely control the video pan-tilt in real time, observe the patients from multiple angles and quickly switch the pictures.

5.2.2 Remote pathological diagnosis

5.2.2.1 Overview

Applicable to the invitation to apply for remote pathological diagnosis from the invited party, and the invited party accepts the application to carry out remote pathological diagnosis and issue diagnostic opinions and Reporting process.

5.2.2.2 Basic functions

Basic functions include.

--Process management functions such as application and appointment, service evaluation;

--Digital scanning function of pathological slices, pathological slices are converted into digital slices;

--Post-processing functions such as enlargement, reduction, and marking of virtual digital slices;

--Functions of writing, publishing, saving, and querying records of pathological graphic reports;

--Patient information upload, report download and other functions;

--Related data statistics function.

5.2.3 Remote surgery teaching

5.2.3.1 Overview

Through the application of remote consultation technology and video technology, the whole process of clinical diagnosis or operation demonstration screen images at the operation site is carried out in real time Recording and remote transmission, so that it can be used for remote surgery teaching.

5.2.3.2 Basic functions

Basic functions include.

-Process management functions such as application and appointment, service evaluation;

--One operating room can support multiple remote classrooms to watch the operation process at the same time;

--Medical experts can connect to the same operating room or multiple operating rooms at any point in the telemedicine information system to perform surgical instructions Function of guidance and discussion;

--Real-time recording function for the whole process of surgical images and scene videos;

--The function of statically taking pictures and dynamic videos during the operation;

--Functions such as high-quality audio and video storage, playback and management of surgery;

--The function of real-time live broadcast and burning of live audio and video information of the operation;

--The function of real-time interactive audio and video calls between the operating room and medical experts;

--Surgery field image monitoring HD TV or LED TV;

--Remote micro-control function of Surgical Camera;

--The remote pan/tilt control function of the surgical field camera and other cameras in the operating room.

5.3 System management functions

5.3.1 Overview

System management includes the management of basic data and business data. It is the management of medical institutions, medical personnel and patient information resources at all levels.

Unified management and docking with other functional subsystems to realize the storage, exchange, update, sharing and backup of basic data and business data Functions such as copies.

5.3.2 Basic functions

5.3.2.1 Authority management

It is required to conduct strict multi-level management of user permissions for various medical institutions, departments, experts, patients, etc., and its basic functions include.

--- Authorize and assign the permissions of different users;

--Diagnosing and browsing of different reports and other permissions allocation function;

-Possess the function of assigning authority to write, review, revise and browse different medical records;

--All passwords should be stored and transmitted encrypted.

5.3.2.2 Data management of medical and health institutions

Establish a medical and health institution information database of the telemedicine information system, its basic functions include.

--Registration function of medical and health institutions;

-Information browsing function of medical and health institutions;

--The function of adding, deleting and modifying medical and health institutions and their various attribute information.

5.3.2.3 Department data management

Establish the departmental information database of the telemedicine information system, its basic functions include.

--Registration function of the department;

-Information browsing and multi-attribute query functions of departments;

--Department related functions;

--The management function of adding, deleting and modifying the department and its various attribute information.

5.3.2.4 Expert data management

Establish the expert information database of the telemedicine information system, its basic functions include.

--Registration functions for expert information collection and review;

--Expert's information list browsing and multi-attribute query function;

--The function of adding, deleting and modifying various attribute information such as telemedicine experts and their technical positions, academic qualifications, and medical qualifications.

5.3.2.5 Medical record data collection and storage

The basic functions of collecting and storing patient medical records include.

--Analog signal processing. the patient's film and paper medical records, laboratory test sheets, graphic reports, etc. are digitized by scanning; support the transmission, storage and reading of scanned documents, scanned documents conform to national and industry unified information standard formats, and support medical record text, Manual entry of data;

--Digital signal processing. support the use of DICOM gateway to obtain patient image data from imaging equipment with DICOM3.0 interface, Support importing DICOM3.0 images from PACS graphic workstation. Support systems such as electronic health records, electronic medical records, data centers, etc.

Achieve interconnection between systems;

--Real-time vital sign signal processing. support the real-time collection and transmission of vital sign data to achieve 24-hour monitoring of patients Intermittent continuous and dynamic observation;

--Centralized storage. all patient examination information, examination application form information, and corresponding examination evidence texts connected to the hospital can be centralized Store it in the telemedicine information system for unified access and unified management to realize remote medical data sharing.

5.3.2.6 Follow-up management

According to the requirements of telemedicine business, regular follow-ups are carried out to improve the quality of consultation. Its basic functions include.

--Management functions such as follow-up type and method;

-Follow-up automatic reminder function according to time in advance.

5.3.2.7 Statistical analysis

Report statistics and query on various business and management information of telemedicine, and its basic functions include.

--Remote consultation application, patient medical records, expert information, opinions and follow-up records query function and the number of consultations and the workload of experts Statistics function, can conduct comprehensive or classified statistics and query according to any time interval, unit, expert, and various types of business;

--Remote booking status and response to other service components and function modules' query statistics function;

--Remote two-way referral information inquiries, access, use and delivery, transfer to diagnosis, up-to-down transfer, and transfer to patients by type and receiving patients Type statistics function, and query statistics function in response to other service components and function modules;

--Provide query and statistical functions of imaging data, patient medical records, and imaging consultations to medical institutions and management personnel;

--Provide ECG data, patient medical records, ECG consultation status, positive rate, examination cost, meeting Inquiry and statistical functions of diagnosis workload;

--Different types of videos of distance medical education, fuzzy search of video names, and query functions and video categories of personal training video records Type, on-demand times and statistical functions of system courses;

--Support user-defined query and statistical table design.

5.3.2.8 Financial management

To manage the financial situation of various telemedicine businesses, its basic functions include.

-Collection notification and confirmation management function;

-Hospital statement management function;

--Expenditure receipt document management function;

--Set the charging standard function according to different provinces and cities;

-Expense settlement list management function, including total functions such as hospital expenses, application doctor expenses, consultation expert expenses, etc.;

--Apply for doctor, expert fee and operating fee ratio setting function;

--Producing cost statistics report function, including the total function of province, prefecture-level city, county and district level and hospital level;

--Prepare monthly and annual report functions for collection and payment of expenses, including annual total functions of provinces, prefecture-level cities, counties and districts, and hospitals can.

5.3.2.9 Function collaboration and data interaction

Realize the functional collaboration and data interaction between the telemedicine confidence system and other related systems. Its basic functions include.

-Collaborate with other health business information systems such as electronic medical records, HIS, regional health information platforms, video conference systems, etc. to complete patients Mutual query, record and use of medical records, remote consultation results, referral appointments, image ECG data, and video call browsing and other functions;

--Through the interface with hospital HIS, EMR, community EHR, video conference system, med...