中国卫生信息管理杂志

目的 做好关键信息个案数据实时采集工作,强化底层原始数据采集应用。方法 按照国家数智健康“4128”技术框架,建设国省两级架构的智慧健康平台,搭建数据采集与交换链路,作为实现医疗健康数据互联互通的核心基础设施。构建“国省两级协同、最小数据集采集、联邦计算共享、闭环质量管控”的技术体系,从最小数据集标准、数据采集流程、关键支撑技术及质量管控等方面,系统阐述从平台搭建、数据采集到数据治理的全链路技术体系。结果 国省两级智慧健康平台已在全国32个省级单位完成部署,实现辖区内二级以上公立医院核心数据汇聚接入;核心健康医疗个案数据持续归集,数据完整性与编码合规率显著提升,为宏观监管、应急决策与协同治理提供稳定数据底座。结论 在少量资源、较短周期的条件下,首次实现卫生健康行业按照“T+1”时效性持续采集全国健康医疗个案数据,运用联邦计算进行数据计算与汇总统计,开展数据质控提升,为上层应用提供数据支撑,验证了技术体系的有效性。

Objective To support real-time collection of key individual-case data and strengthen the acquisition and application of underlying raw data in the medical-health sector.Methods Guided by the national "4128" digital-health framework,a smart-health platform with a two-tier(national-provincial) architecture was constructed to establish data collection and exchange links,serving as the core infrastructure for medical-health data interoperability.A technical system integrating "national-provincial coordination,minimum-dataset collection,federated-computing-based sharing,and closed-loop quality control" was developed,systematically describing the full-chain technical system covering from platform construction,data collection to data governance.Results The national-provincial smart-health platform has been deployed across 32 provincial-level units,achieving aggregation of core data from secondary-and-above public hospitals within each jurisdiction.Core individual-case medical-health data are continuously ingested with "T+1" timeliness,with data completeness and coding-compliance rates significantly improved,providing a stable data foundation for macro-level monitoring,emergency decision-making,and collaborative governance.Conclusion With limited resources and a short development cycle,this study for the first time realized the continuous nationwide collection of individual medical and health records in the healthcare industry following the "T+1" timeliness requirement.Federated computing was adopted for data computation,aggregation and statistics,accompanied by sequential data quality control optimization to support upper-level applications.The effectiveness of the technical system has been verified.