目的 探讨以居民健康档案为基础设计和扩展区域医疗信息平台.方法 从构建平台的需求分析开始,理清平台的业务结构和系统结构,通过标准化接口与各医疗机构信息系统进行互联互通,实现数据交互与信息共享,促进医疗资源的合理分配,并在此基础上探讨平台应有的主要功能模块及其附属支持应用系统.结果 全市30多家医疗机构,横向覆盖主要医疗卫生机构,基于居民电子健康档案、电子病历、门诊统筹管理的医疗卫生信息化体系的基本架构,实现区域内跨机构、跨区域、跨部门的卫生信息互联互通、数据共享.结论 区域卫生信息平台是保证市民的医疗质量和安全性,提升整体医疗服务的可及性、降低医疗费用、减少医疗风险的系统工程.%Objective To design and expand the regional medical information platform based on the residents' health records. Methods Start by analyzing the requirements of the platform, the business structure and system structure was cleaned up. Then through the standardized interface and the interconnection with the information system of various medical institutions, the data interaction and information sharing could be realized and the rational allocation of medical resources could be promoted. On this basis, the main functional modules of the platform and its supporting application system were discussed. Results More than 30 major medical and health institutions across the city were covered horizontally and had realized inter-agency, cross-regional and cross-departmental health information interconnection and data sharing within the region by using regional medical information platform, which was based on residents electronic health records, electronic medical records, outpatient department overall management. Conclusion Regional health information platform is a systematic project to ensure the quality and safety of public's health care, improve the accessibility of overall medical services, reduce medical costs and reduce medical risks.
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