The three key words of openness, security, integration, and medical big data policy, the improvement of medical informationization will be an industrialization upgrade. The comparison between China and the United States will break the pain of medical data and open the path of medical informationization.

First, openness is inevitable, and non-opening is an exception.

Open data is conducive to stimulating the motivation and vitality of deepening the reform of the medical and health system; improving the efficiency and quality of medical and health services; expanding the supply of resources, continuously meeting the multi-level and diversified health needs of the people, and fostering new formats and economic growth. point;

Second, the order is standardized, safe and controllable.

It is necessary to establish laws and regulations for the opening and protection of all-health medical big data; strengthen the construction of standards and safety systems; strengthen the responsibility for safety management; and effectively protect personal privacy and information security;

Third, open integration, and build and share.

Government and social forces must cooperate to integrate resources, promote the formation of support from all parties, release data dividends, and stimulate the vitality of mass entrepreneurship and innovation.

Three questions that must be answered in the development of hospital information in China: Is the data complete? Is the data standard? Is the data secure?

The main source of medical data is the electronic health record, which is the electronic medical record. An electronic medical record is a patient's medical information recorded by a resident electronically, including medical advice, prescriptions, and the like. This definition is derived from the “Electronic Medical Record-Based Hospital Information Platform Construction” published by the Health Statistics Information Center, which is defined in the basic solution for the construction of hospital information platform based on electronic medical records.

Before the China Hospital Network Conference of the China Hospital Association Information Management Professional Committee, more than 400 hospitals were investigated and an informationization survey was conducted. The survey is as follows:

1. According to the implementation of management information of tertiary hospitals, 78.95% of the hospitals have implemented hospital management informationization, but only 13% of customer management management, so the data here Not complete.

2, according to the medical clinical information system implementation data, the resident workstations and hospital nurse workstations and outpatient emergency doctor workstation systems accounted for 72.57%. The electronic medical record system is narrowly defined and only 69% of doctors are used. There is still a large proportion of hospitals that do not have a system installed.

3, according to the use of the unified information coding system in the hospital to use the unified information coding system in 2015-2016, ICD10 accounted for the highest 83.6%, the image transmission file standard is only 60%, the latter ICD9 accounted for 50 Below %, so the standardization situation is very pessimistic.

4. According to the analysis of the main obstacles in the construction of information technology. Lack of sufficient information funding support, lack of human resources in the department, and the lack of ability of suppliers to provide products and services are the three major obstacles in the construction of information technology.

If the medical insurance and commercial insurance are strong enough, the process of producing standard data in the hospital will accelerate.

There are various ways to apply medical big data in the policy environment. For example, the triple medical linkage can solve the problem of data standardization, and the full intervention of medical insurance, the data requirements of the government regional platform will force the hospital to produce standardized data. To give a simple example, the three major catalogues of medical insurance are now charged. The three major catalogues are medicines, medical expenses, and consumables. Each hospital is required to convert the data charges in the hospital into the previously defined coding specifications in accordance with the rules.

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