Research On Information Classification Of Community Health Service

Community health service (CHS) is the important content and key-process of national town reform on medical and hygiene system, and consisted of national new urban hygiene service system. Presently, those as criteria lack of records'content and format, information collection, disagreement of classification about records'data and information, lied in the usage of the community health information. So, the term and classification criteria research of community health information has got more and more attention increasingly.Purposes☆Searching the way of health information classifying, which combined the modeling method with"up to low"and the method of Business Process Analyzing with"low to up"☆Submitting CHS information classification data set Materials and methodsAdopt the way of stratified random sampling to sample the data in health information systems out of Hunan and Shanghai, as source materials.To draw the theory of conception data model within the thought of Oriented Object Modeling, six items function of CHS were united to classifying. The modeling thought of health information classification didn't involve the specification of system design, implement and operation, but stressed information expression, logic relations and management, emphasized particularly on information utilizing, not developing. Business Process Analyzing is one link of system analysis during software development. Business processes of CHS were analyzed by utilizing initial data and constructing the business form, which helped to confirm the sort of data.The thinking of combining the modeling thought of"up to low"and business process analysis of"low to up"was tried to meet demands of information classification.The materials of health information standardization study and CHS deliver study were collected by literature review method, and the questionnaire of pilot project about National Health Monitoring System of China study were analyzed by indirect observation and induction analysis methods.ContentsThe contents of research focused on four aspects, as following: I Current situation analysis of health information classification II CHS health information settlingIII CHS health information model and business process analyzing IV CHS health information classifyingResultsLiterature review clewed, at present the holistic research on frame, model and term had already begun to be paid more attention in the world. Domestic health information standardization study was still on studying, consulting, and using external experience for reference.In the study, 1523 items of initial data out of CHS were drawn, involved 23 kinds of business sorts. 311 items were kept after redundancy-eliminating, and classified. Functions of CHS developed mainly according to"six in one", and basic information and"six in one"contents with medical, prevention, protection, healing, health education and family-planning instruction, were confirmed as the sorts of CHS information classification. CHS business forms constructed by initial data exceeded 70 forms, involved above 20 sorts of business of CHS.Practicability, commonability, nature, science, systematicness, pertinence and dynamics were established as the principles of classifying. Following the principles, combined modeling thought, 311 items of data were classified, which resulted of basic information 56 items, medical 45 items, prevention 33 items, protection 137 items, healing 8 items, health education 27 items and family-planning instruction 5 items. The attribute value of every data, included ID, sign, sort, description, value style and source were ensured, health information classification data set of CHS was submitted.ConclusionThe conception modeling methods with"up to low"and"low to up"were the important method in the health information standardization studies. In this study, the methods of confirming data through modeling and classifying sorts through data analysis were combined. But the way how to realize two methods combined closely in the round, still was awaited the discussion.According to the way of information division out of HIS by HL7, the information styles included four: share information, management information, medical and health information, and technology infrastructure information. In the study, source data was originated from community information system, protection information as the core, and classified according to the function model of CHS, which was regarding medical and health information. But in the research on information classification of CHS, more styles of information should be paid close attention to.At present, it is very obvious that two major aspects of term standardization and data structure standardization were required. Domestic health information standardization was the stage of learning and drawing foreign production. In the study, Effective information classification method in CHS was brought forward, and worth consulting on the research on information classification standard in CHS, helpful to promoting information classification development.