Design And Implementation Of Grass-roots Medical Informatization System

The grass-roots medical institutions in China include health service centers in urban communities,health centers in townships and clinics in villages.Their functional positioning is to provide basic public health and medical services to the local population.Aiming at the problems such as the informatization level of grass-roots medical institutions is relatively backward,the current hospital information system does not meet the development requirements,the medical data structure is not uniform,the degree of information resource sharing is low,and the medical insurance settlement process is cumbersome,this thesis designs and implements the grass-roots medical informatization system,which is connected to the local medical security information platform and the county medical supervision platform,and has been launched and operated in several township health centers.Based on the informatization project of the medical service community in Yongsheng County,Lijiang City,Yunnan Province,this thesis investigated the current situation of the information system of grass-roots medical institutions in the county,elaborated on the research objectives and content.The grass-roots medical informatization system is divided into seven modules: system integrated management platform,medical data statistics platform,doctor workstation,nurse workstation,pharmacy and drug storage management,charge management and village medical system.The first six modules are the basic system modules and the village medical system is simplified on the basis of the basic system,providing outpatient fees and historical prescription management functions for village doctors.By collecting medical data from the network and extracting clinical medical data generated after the system goes online,a medical knowledge graph is established.The disease names in the medical data follow the medical terminology specification of ICD-10,and the medical knowledge graph is used to search for drugs related to the disease,providing physicians with drug recommendation functions to assist them in prescribing medication.The system integrated management,medical data statistics platform,and village medical system adopt the B/S architecture,while the system client uses the C/S architecture.The core framework of the system backend is Spring Boot,the front-end framework is Vue.js,and the system client is packaged using NW.js.In terms of data storage,the basic data and business data of the system are persistently stored by the relational database MySQL,the data that needs frequent access is cached by the highperformance database Redis,and the medical knowledge graph is stored by the graph database Neo4 j.The implementation of grass-roots medical informatization system has improved the informatization level of grass-roots medical institutions,simplified the medical insurance settlement process,optimized the operational efficiency of grass-roots medical institutions,provided standardized data of grass-roots medical institutions for higher medical institutions,and promoted the construction of county medical service community,which has certain practical significance.