Customer Profile: Xianfeng County Traditional Chinese Medicine Hospital was founded in 1982. It is a national second-class Grade A traditional Chinese medicine hospital that integrates medical treatment, first aid, preventive health care, scientific research and teaching. It covers an area of 20 acres, with a medical business building area of 40000 square meters, 458 employees, 500 beds, and 28 clinical medical technology departments. It is one of the first units in China to establish a demonstration base for traditional Chinese medicine health tourism, a county wide Red Cross emergency center, and a grassroots traditional Chinese medicine guidance center.
Requirement analysis:
There are a large number of document requirements for medical and nursing signatures and hospital seals in various aspects of hospital patient services. The signing costs and efficiency tests brought about by the huge flow of people urgently need to be optimized
① Hospital digital transformation
During the period of digital construction, the country vigorously promotes hospital digital transformation. In addition, the National Health Commission has issued multiple documents in recent years to encourage medical institutions with conditions to carry out electronic medical record and electronic prescription applications. Realizing the electronicization of signatures and seals has become an important part of hospital digital construction. ② It is difficult to trace the signatures of medical staff. From diagnosis and prescription, testing, surgery, nursing to discharge, the entire patient service process cannot be separated from the signature support of medical staff. However, offline signatures on paper documents are prone to phenomena such as fraudulent signatures, proxy signatures, and denials. Once disputes arise, not only is it difficult to collect evidence materials, but the responsibility tracing of medical staff also lacks basis.
③ Difficulty in storing medical record materials
Various prescriptions, medical orders, nursing orders, and other documents generated during the patient service process are all valid medical record materials for the patient. Paper materials not only cannot guarantee authenticity, but also have difficulty in long-term storage. If electronic medical records are used, they must be combined with legal and regulatory requirements to ensure their authority, credibility, and effectiveness.
④ Cost of Signing Paper Documents in Hospitals
As a well-known local traditional Chinese medicine hospital, Xianfeng Traditional Chinese Medicine Hospital has a large daily flow of people, and the outpatient and inpatient departments generate a large number of paper documents every day. The accompanying paper and printing work brings a considerable cost expenditure to the hospital and is also an important optimization requirement in the hospital's digital construction.
Solution:
The contract lock is mainly integrated with the existing HIS information management system of Xianfeng County Traditional Chinese Medicine Hospital, providing identity authentication and electronic signature information maintenance services for medical staff. At the same time, through functional interfaces, the electronic signature function is embedded into the HIS process, allowing medical staff to call the contract lock page at key stages to complete the signing of medical and treatment documents.
Application scenario:
Scenario 1: HIS system scan code authentication login
Medical staff must complete personal authentication, signature maintenance, etc. in the contract lock APP before logging into the HIS system through the APP scan code, scan face verification and identity verification.
Scan the QR code on the HIS login page (returned by the contract lock interface) through the contract lock APP to log in to HIS. After the contract lock APP confirms the login, the HIS system retrieves the login user information from the contract lock login result interface, automatically enters the user account password, and allows them to log in.
Scenario 2: "Temporary Medical Order Form" Electronic Signature
① Doctors fill in medical orders in the HIS system, and during the sealing process, the system automatically opens the signature intention verification. If the verification is passed, the electronic signature and image information reserved in the contract lock system will be automatically captured. ② The nurse's review and execution confirmation process will automatically verify the willingness to sign. If the verification is passed, the system will automatically capture the electronic signature and image information to complete the signing. The HIS system synthesizes and lists information on signature details, signature images, and medical order data, and supports printing and downloading.
Scenario 3: "Nursing Record" Electronic Signature
① Nurses log in to the HIS system to fill in nursing records, and in the confirmation stage, the system opens the data signature intention verification. If the verification passes, the signature is successful. The HIS system automatically captures the signature image information reserved by the nurse in the contract lock system, synthesizes the nursing data and nurse signatures, and displays them in a list. Scenario 4: Electronic signature of "prescription form" ① The doctor scans his face and logs into the HIS system to prescribe. In the prescription confirmation stage, the HIS system opens the signature intention verification through the contract lock interface. After verifying the identity, the doctor's signature image is automatically synchronized and presented in the HIS system form. During the prescription review and dispensing process, the person in charge logs into the HIS system to obtain prescription form files with the doctor's electronic signature. After the review and confirmation, the person in charge directly verifies the willingness to sign and confirm after dispensing. After the three parties sign, the HIS system synthesizes prescription data and three party signature images in real time, generates electronic prescription forms, and prints paper documents at any time. Scenario 5: Electronic signature of "hospitalization certificate" ① Doctors log in to the HIS system to fill in patient hospitalization information and initiate hospitalization applications. After the hospital approves and confirms the certificate, it automatically confirms the willingness to sign. Once verified, the certificate approval can be completed. The HIS system automatically merges patient information, hospitalization information, and doctor signature information into a single document, displaying the hospitalization certificate file with the doctor's electronic signature image, and supporting on-demand printing of paper documents.
Application value:
Ensure that the signing, modification, receipt, and archiving processes of all patient orders, prescriptions, hospitalization and nursing materials are recorded, signed by the individual, and cannot be tampered with.
Fully eliminate daily paper consumption in outpatient and inpatient departments of the hospital, reduce the daily large-scale signing work of medical staff, and lower the service costs of the hospital.
Integrate and dock with HIS information system, fully integrate patient medical record data, approval process, and electronic signature, and promote the comprehensive digital transformation of prescription, nursing, and inpatient medical information confirmation.
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