Smart medical abbreviation WITMED, is a recently emerging proprietary medical term, through the creation of health record regional medical information platform, the use of the most advanced Internet of Things technology, to achieve the interaction between patients and medical staff, medical institutions, medical equipment, and gradually achieve informatization.

Smart healthcare consists of three parts, namely smart hospital system, regional health system, and family health system.

1. Smart hospital system, consisting of two parts: digital hospital and promotion application.

Digital hospitals include hospital information systems (HIS), Laboratory Information Management System (LIS), and Picture Archiving and Communication Systems PACS) and four parts of the doctor's workstation. Realize the collection, storage, processing, extraction and data exchange of patient diagnosis and treatment information and administrative information.

The core job of the doctor's workstation is to collect, store, transmit, process and utilize patient health status and medical information. The doctor's workstation includes a working platform for all medical processes such as outpatient and inpatient treatment, examination, diagnosis, treatment, prescription and medical orders, disease course records, consultation, transfer, surgery, discharge, and case generation.

The application of technologies such as remote image transmission and large-scale data computing and processing in the construction process of digital hospitals can be improved to improve the level of medical services. Like what:

Remote visits, avoiding direct contact between visitors and patients, preventing the spread of disease and shortening the recovery process;

Remote consultation, support the sharing of advantageous medical resources and cross-regional optimal allocation;

Automatic alarm, monitoring of patients' vital sign data, reducing the cost of intensive care;

Clinical decision-making system to assist doctors in analyzing detailed medical records and providing a basis for formulating accurate and effective treatment plans;

Smart prescription, analyze the patient's allergy and medication history, reflect the information of drug origin batch, effectively record and analyze prescription changes and other information, and provide reference for chronic disease treatment and health care.

2. Regional health systems, which consist of two parts: regional health platforms and public health systems.

Regional health platforms include regional health information platforms that collect, process, and transmit all information recorded by communities, hospitals, medical research institutions, and health regulatory authorities; These include the use of cutting-edge science and computer technology to help medical units and other relevant organizations carry out disease risk assessments, develop individual-based risk factor intervention plans, reduce medical expenses, and develop electronic health records (EHRs) to prevent and control the occurrence and progression of diseases. Like what:

The community medical service system, which provides basic treatment for general diseases, community care for chronic diseases, upward referral for serious diseases, and receiving recovery referral services;

The management system of scientific research institutions comprehensively manages the pathological research, drug and equipment development, clinical trials and other information of medical and health science institutions such as medical schools, pharmaceutical research institutes, and traditional Chinese medicine research institutes.

The public health system consists of a health supervision and management system and an epidemic release control system.

3.Home Health System.

The family health system is the closest to the health protection of the public, including video medical care for patients with mobility disabilities who cannot be sent to the hospital for treatment, remote care for chronic diseases, the elderly and children, health monitoring for special groups such as intellectual disabilities, disabilities, infectious diseases, etc., and also includes intelligent medication systems that automatically remind the time of medication, contraindications, and remaining doses.

From a technical point of view, the conceptual framework of smart healthcare (see Smart Healthcare Solution Architecture Diagram) includes five aspects: basic environment, basic database group, software basic platform and data exchange platform, comprehensive application and service system, and guarantee system.

Basic environment: through the construction of a public health network, the interconnection with the government information network is realized; Build a health data center to provide security for basic health data and various application systems.

Basic database: including six basic databases in the health field such as drug catalog database, resident health record database, PACS image database, LIS test database, medical personnel database, and medical equipment.

Software infrastructure platform and data exchange platform: provide three levels of services:

The first is infrastructure services, which provide virtual optimization servers, storage servers and network resources;

The second is platform services, which provide optimized middleware, including application servers, database servers, portal servers, etc.;

Finally, there are software services, including applications, processes, and information services.

Comprehensive application and service system: including three types of comprehensive applications: smart hospital system, regional health platform and family health system.

Guarantee system: including three aspects: security guarantee system, standard and norm system and management guarantee system. Build a security system from three aspects: technical security, operational security and management security, and effectively protect the availability, confidentiality, integrity, anti-repudiation, auditability and controllability of the basic platform and each application system.

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Scope of application

Smart hospital

Doctor resources are still scarce resources in the world, and this supply and demand relationship determines to a certain extent the problem of patients' difficulty in seeing a doctor, and China's medical treatment has long existed "heavy medical treatment, light prevention; Heavy on the city, light on the countryside; Heavy and large hospitals, light community health", residents rely too much on large hospitals, aggravating the contradiction of medical treatment, and the phenomenon of difficulty in finding No. 1 is frequent. Therefore, convenient and fast appointment registration has become the biggest demand of users for hospital resources. Smart hospital is the information construction of medical institutions under the concept of smart medical care. In a narrow sense, smart hospitals can be handheld hospitals based on mobile devices, and on the basis of digital hospital construction, innovative modern mobile terminals are used as entry points, and the mobile portable characteristics of mobile phones are fully applied to the medical process.

Functionality of the smart hospital mobile app

One-stop medical service

The smart hospital projects that have emerged in China generally have the following functions: intelligent triage, mobile phone registration, outpatient call inquiry, report collection, laboratory order interpretation, online doctor consultation, hospital doctor inquiry, hospital surrounding merchant inquiry, hospital geographical location navigation, hospital department navigation, disease inquiry, drug use, emergency process guidance, health information broadcast, etc. We realize a "one-stop" information service from physical discomfort to completion of treatment. Smart hospital applications need to be truly implemented in specific hospitals, specific departments, and specific doctors, connecting patients and doctors point-to-point, but it is by no means equivalent to skipping the hospital unit on the network platform and directly encircling patients and doctors.

Personal health record management services

How is personal health record managed? If patients want to know their medical history, they have no way to consult them except to flip through one paper medical record after another. Which hospital stayed for a few days, what medicine was used, how to treat it last time, etc., every time you review or commit a disease, you always need to rummage through the cabinet to find the medical records, and you may not remember clearly or remember it incorrectly after a long time. The emergence of mobile medicine allows every patient to view their personal history of appointments and medical records in the hospital through mobile phone applications, including outpatient/inpatient medical records, medication history, treatment conditions, related costs, checklists/test sheet graphic reports, online consultation records, etc., not only can timely self-check health status, but also through 24-hour online doctor consultation, to a certain extent, to achieve the correct attitude of "physical discomfort self-examination, minor illness first consultation, major illness to the hospital".

Mobile medical library

E-books and online reading, which have been realized many years ago, are undoubtedly a heavy blow to print books, printing houses and offline bookstores. As a special field, medical literature is not as casual as romance novels and popular science magazines can be bought in bookstores or searched on Baidu, and many times medical students need to register on relevant websites to pay to read. As smartphones and pads continue to evolve, many developers are tapping into more inherent resources to make their apps sell better. As a result, reading has become not only convenient and enjoyable, but also more effective. Drug libraries, disease libraries, symptom database queries, clinical case analysis, and even online reading and downloading of medical journals from authoritative medical dictionaries have brought great convenience to medical workers.

Advantages of smart hospital applicationsIn the past two years, smart phones and mobile medical care have opened up many new entrepreneurial opportunities and application scenarios, and various new players have rushed in, mainly divided into B2B model for hospitals and doctors, and B2C mode for direct users, the former is mainly to provide medical knowledge for professionals, and the latter is a "self-examination + consultation" telemedicine health consultation application. The advent of smart hospital applications can not only simplify the medical treatment process, reduce medical costs, but also increase the feeling of being valued by doctors. For doctors, it can not only reduce labor time, but also improve the quality of patient management, improve the level of diagnosis and treatment, and be recognized by patients in continuous learning; For hospitals, it can more directly understand the needs of patients, serve patients, improve service satisfaction, and build a harmonious doctor-patient relationship.

Healthy Community

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