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In order to assist in the standardization and maturity evaluation of national hospital information interconnection, and further standardize the application and management of hospital medical record data, a hospital carried out the practice of design of structured medical records and the corresponding quality management from April 2021. Based on the six sigma quality management method, the hospital had developed universal templates for electronic medical records and a list of candidate electronic medical record templates. The problems faced by medical record data had been analyzed, and improvement strategies had been proposed from three levels: template design, software functionality and management services. The clinical departments were guided to design and develop various structured electronic medical record templates for specialties and specialized diseases, and established a medical record template design and quality management method. The hospital had ultimately designed a total of 614 structured electronic medical record templates that met the actual needs of the hospital. This practice enhanced the scalability of structured templates and quality of the data, and achieved localization and specialization of medical record templates while meeting the requirements of information interconnection and sharing, providing reference for promoting the interconnection and sharing of electronic medical records of hospitals in China.
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Resumen El presente trabajo se enmarca en el contexto de las alternativas relacionadas con la planificación del entrenamiento deportivo, a partir de los modelos ATR (acumulación- transformación-realización). En correspondencia con las concepciones que hoy se utilizan en materia de planificación del entrenamiento, se evidencia la importancia de la interconexión de los contenidos en la preparación de los boxeadores, a partir de la conjugación de cargas cuyas rutas metabólicas son fundamentalmente la fosfagénica, anaerobia aláctica y la glicolitica, anaerobia láctica. El objetivo de la investigación radica en valorar el estado de la planificación del entrenamiento, en función de las tendencias más actuales, relacionadas con la interconexión de las cargas y el modelo ATR en la preparación de los boxeadores de la Academia Provincial de Pinar del Río. Para el estudio, se utilizó una muestra conformada por 13 atletas y siete entrenadores de la Academia Provincial de boxeo de Pinar del Río. Se emplearon diferentes técnicas y métodos como la entrevista a entrenadores, la observación y la medición. No obstante, los documentos y orientaciones de la Comisión Nacional de boxeo aún no cubren todas las expectativas de los colectivos pedagógicos de entrenadores de la academia, lo que deja un margen a la interpretación, por parte de las Comisiones Técnicas de los territorios en cuanto a las alternativas, a la planificación del entrenamiento y la definición de las direcciones e interconexión de estas. Resulta necesario encontrar un mecanismo que, en el plano didáctico, oriente mejor al entrenador en este sentido.
Abstract The present work is framed in the context of the alternatives related to the planning of the sport training, from the ATR models (accumulation-transformation-realization). In correspondence with the conceptions used today in training planning, the importance of the interconnection of the contents in the preparation of boxers is evident, from the conjugation of loads whose metabolic routes are fundamentally phosphagenic, alactic anaerobic and lactic anaerobic glycolithic. The objective of the research is to assess the situation of the training planning, based on the most current trends related to the interconnection of the loads and the ATR model in the preparation of the boxers of the Provincial Academy of Pinar del Río. For the study it was selected a sample, consisting on 13 athletes and 7 coaches from the Provincial Boxing Academy of Pinar del Río. Different methods and techniques such as the interview, the observation and the measurement were used. This study was carried outin correspondence with the most advanced conceptions regarding training planning. It reveals the importance of the interconnection of the contents in the preparation of the boxers from the combination of lactic anaerobic loads and lactic ones. However, the documents and guidelines of the National Boxing Commission still do not meet all the expectations of the pedagogical groups of trainers of the academy, which leaves a margin for interpretation by the Technical Commissions of the territories as regards alternatives, the planning of training and the definition of the directions and interconnection of these. It is necessary to find a mechanism that, at the didactic level, better orients the trainer in this sense.
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Objective To establish a "patient-centered" integrated information platform for emergency interconnection. Methods Based on the existing software, hardware and network systems of the hospital, design ideas of the modularization, process and standardized were used to reshape the process of emergency diagnosis and treatment in department of emergency-critical care medicine of Huashan North Hospital,Fudan University, and develop integrated information platform for emergency interconnection, including triage, emergency physician workstation, electronic medical records, clinical pathways of key diseases, medical integration, electronic handover classes, imaging, testing, ultrasound, drug counseling and medication safety, performance appraisal and management systems of scientific research, etc. Results The information platform for emergency interconnection was successfully developed. The functional logic of each system was clear and concise. It had strong compatibility, stable performance and powerful processing capability. It could quickly query the target content and support free and fast switching of each window. At present, daily diagnosis and treatment of emergency patients were realized by informationization, which completely liberated the manual labor of medical staff, shortened the processing time of unit patient, and significantly improved efficiency of the work. At the peak of the patients' visit, the overall operation of the emergency department was stable, and all the work was carried out in an orderly manner. There was no delay of the diagnosis and treatment for critically ill patients in the emergency department. Emergency access to patients with key diseases was smooth, and waiting time was significantly shortened. Clinical decision-making of medical staff had been effectively regulated. The success rates of the patients with acute trauma or acute respiratory failure were significantly improved, the time of the critical treatment were significantly shortened in patients with emergency respiratory cardiac arrest or acute ST-segment elevation myocardial, and compliance rate of the door-to-balloon time met the requirements of the Emergency Room to Balloon Expansion Time (DTB) Alliance. Conclusion The integrated information platform for emergency interconnection ran through the whole process of emergency diagnosis and treatment, based on emergency clinical practice, which could meet the needs of daily work in emergency department and help improve the quality of emergency medical and department management.
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With the continuous improvement of living levels, people's demands for health services present a various and personalized characteristics, and more and more people choose to carry out routine inspection and treatment in health care institutions. At present, China's health service market mainly adopts the hospital as the main body and adopts the third party health operating organization as subsidiary role. The health management service mode of whole process innovatively achieved seamless joint between health information operation services and hospital information platform, and realized interconnection between data center of health information operation service organization and hospital information platform. Through analyzed big data to realize early warning and forecast for disease. And patients were used as clue of prime index to put case history, health, consumption, service, feedback and other information in series. And a whole dimensionality information base of patients were established. And the integrated health archive was used as carrier to provide information base for the interconnection between profession and service. It can not only provide convenient medical experience and extended medical service for patients, but also provide clinical reference and clinical research data for doctors. It is a application of new type whole course health management service mode.
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Objective To explore the solution for regional population health information platform based on the involvement of internet plus and big data.MethodsThe objective and contents of the platform were discussed,and its logic structure and deployment architecture were designed.The functions of a platform-based application system and two information integration platforms were described.The key technical links of the system were demonstrated.Results The solution for regional population health information platform based on internet plus completed population health information service system,and laid a foundation for the application of medical big data.Conclusion The solution contributes to the inter-connection and communication between medical fields in some region,promotes healthcare informatizatoin platform and is thus worthy applying practically.
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Taking the Fourth Affiliated Hospital of China Medical University as an example,the information integration platform of the hospital is constructed in accordance with the national data and information interaction standard and HL7 standard.The paper introduces the idea for selecting platform products,and technical route and effect of platform construction,and provides guarantee for sustainable development of the hospital,in order to greatly improve core competitiveness of the hospital.
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This paper has introduced the application of multimedia technique binding interconnection network in surgery medical teaching.The level of teaching and administration in surgery medical teaching have been highly raised by making manufacture medical multimedia courseware,setting up the routes of Chinese-English languages information query and internal-international academic communication,building up the systems of surgery medical test,daily administration and learning in Web.