Medical record blockchain
take the PPT big health protection ecological platform on the market as an example:
five applications of blockchain in the medical field:
1. In the aspect of EHR medical treatment, the main application of blockchain is the preservation of personal medical records, which can be understood as the electronic medical records on the blockchain. If you think of the medical record as an account book, originally it is in the hands of various hospitals, and the patients themselves do not master it, so the patients have no way to obtain their own medical records and historical information, which will cause great trouble for the patients to seek medical treatment, because the doctors can not fully understand your medical records. But now, if we can use blockchain technology to save, there will be historical data of personal medical care. Whether we see a doctor or plan for our own health, there will be historical data to use. The real master of this data is the patient himself, not a hospital or a third-party organization
2. DNA wallet gene and medical data can be safely stored by using blockchain technology and obtained by using private key, which will form a DNA wallet. This enables healthcare providers to share and count patient data safely, and helps pharmaceutical companies develop drugs more efficiently. And this model is graally being established
3. The development of bitcoin payment blockchain technology promotes bitcoin payment and gives patients more choices for insurance payment. Although it also depends on the development of bitcoin in the market, the insurance companies that provide this way also have greater advantages than their competitors. For health insurance companies, blockchain is being established as a part of financial services
4. Drug anti-counterfeiting is similar to coding anti-counterfeiting technology. For drugs using blockchain technology, there is a scraped surface on the surface of drug packaging box, and a special verification label under it, which is compared with blockchain technology to ensure the legitimacy of drugs
5. Protein folding e to the rapid process of protein folding, Stanford University previously relied on very expensive supercomputers to simulate the protein folding process. This approach is obviously expensive and has a single point of failure. By using blockchain, they can choose to use a huge distributed network for high-speed computing. This example will greatly attract other companies that use expensive supercomputers. With the development of medical technology, medical data is playing a more and more important role in the aspects of patient identity background, past medical history, and medical payment records. Medical data may be a person's most private data, but e to network operation errors or hacker attacks and other problems, in the past, these personal privacy data were leaked on a large scale. For example, anthem once leaked 80 million patient and employee records, and UCLA health once leaked 4.5 million patient data. The medical convenience brought by blockchain includes: as more and more health and preventive care are provided in a virtual environment, such as at home, at work and so on. Open and viable tracking, validation, and care delivery will become very important for patients, payers, suppliers, scientists, and regulators. The development of these new ohh blockchains in the clinical community will prepare for the study of patients' behavior, and for the important data access of supplier reimbursement, rule compliance, security monitoring and patient compliance in the future. Blockchain is a near perfect technology (not necessarily implemented at present). It can easily and safely access ooh data while protecting the maximum privacy, and rece the interest risk of all patients, including patients themselves, families, caregivers, clinics, suppliers, insurance companies and all stakeholders related to patients' health.
The of medical record is the information needed for medical insurance reimbursement. The of medical record is provided by the hospital or doctor for patients to query, and seal
the right subject of ing medical records
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4. Full time personnel of public security and judicial organs needed for handling cases. In addition, other people have no right to the patient's medical record
when medical institutions accept the application for ing or plicating medical records, the Department responsible for the quality control of medical services or the department or ward responsible for the custody of outpatient (emergency) medical records will send the medical records to the designated place within the specified time limit and or plicate them in the presence of the applicant
extended data
the total coverage rate of urban and rural residents in China remains above 95%. Although it is close to the goal of "everyone enjoys medical insurance", the "difficulty of reimbursement for medical treatment in other places" still affects migrant workers, the elderly who live with their children in other places, and the seriously ill patients who seek medical treatment in other places. At this year's two sessions, it has become a hot topic for the representatives and members to realize the real-time settlement and reimbursement of medical insurance in different places as soon as possible
However, the overall planning level of the above-mentioned medical insurance, especially the residents' medical insurance and the new rural cooperative medical fund, is low, and the overall planning level of most provinces and localities stays at the prefecture level, even at the district and county level, resulting in medical insurance patients going out of the county, The reimbursement of medical expenses is limited. In recent years, with the migration of population, the contradiction has become increasingly prominentMedical records and medical records are different. Normal medical records are usually outpatient or a simple discharge summary. Cooperative medical care needs discharge summary, inpatient medical records and medical orders. If you are just discharged from the hospital, you need to find the attending doctor. If you are discharged for a long time, you need to go to the medical record room, you must bring a household registration book, the ID card of the inpatient and the person to
the special diseases of reimbursement payment of new rural cooperative medical fund include: chemotherapy and radiotherapy for malignant tumor; Hemodialysis and peritoneal dialysis of severe uremia; Anti rejection therapy after tissue or organ transplantation; Schizophrenia with mental decline; Systemic lupus erythematosus; Aplastic anemia; Anticoagulant therapy after cardiac surgery. Other special diseases that can be reimbursed shall be subject to local specific policies
extended data:
reimbursement scope:
the part (i.e. effective medical expenses) of medical insurance reimbursement scope for urban employees, such as drug expenses, examination expenses, laboratory expenses, operation expenses, treatment expenses, nursing expenses, etc., incurred by the participants in the designated hospital ring the overall planning period
the new rural cooperative medical fund payment set the starting payment standard and the maximum payment limit. The hospitalization expenses below the standard paid by the hospital every year shall be paid by the indivial. For those who reach the minimum payment standard in the same overall planning period, the hospitalization expenses incurred by two or more times of hospitalization can be reimbursed accumulatively. If the hospitalization expenses exceed the starting payment standard, it shall be calculated by sections and reimbursed accumulatively. There is a maximum amount of reimbursement for each person every year
1、 The performance is different:
1, medical records (medical records):
mainly refers to the medical staff's records of the occurrence, development and prognosis of patients' diseases, as well as the process of medical activities such as examination, diagnosis and treatment
2. Case:
the unit of calculation used for disease statistics, giving an example of a certain disease that someone has suffered from
Second, different functions:1. Medical records (medical records):
is not only the summary of clinical practice, but also the legal basis for exploring the law of disease and dealing with medical disputes
2. Case:
is mainly used for medical disease sorting and research in the future
extended data
take one person with one disease as one case, if one person has two diseases at the same time, it is two cases. A disease that someone has suffered from is a case of the disease
medical records are mainly realized by clinicians, nursing and medical technicians. According to the data obtained from medical activities such as interrogation, physical examination, auxiliary examination, diagnosis, treatment and nursing, they complete the medical records through inction, analysis and arrangement
as the original record of the whole process of diagnosis and treatment, medical records record the real situation of the whole process of the patient's discharge or death. Therefore, the medical record is not only the actual record of the disease, but also the embodiment of medical treatment, nursing quality and academic level
go to the hospital and use the medical insurance card for hospitalization, and then ask the doctor to apply for it. After verification by the medical insurance department, it's issued
specifically, ask the doctor to make it clear
that's what I call it, it's not the same, With this, you can claim part of the expenses without hospitalization, otherwise you have to pay for the card when you go to the outpatient clinic
If the medical record book of employee's medical insurance is lost, I need to go to the municipal or district medical insurance agency to apply for a new medical record book with my ID card (or citizen card) and a 1-inch recent bareheaded photo. If the medical record book has been used up, the medical record book shall be replaced by the medical insurance agency of the city or district with the ID card (or citizen card) and the old medical record book
at present, some cities in China have cancelled the medical insurance medical record book, and they only need to hold the medical insurance card to use it. When reimbursement, you need to bring your ID card, medical insurance card, original invoice, medication list, discharge summary and other materials to the local medical insurance checkout window for reimbursement
1. Case: an example of a disease. A person or organism who has suffered from a certain disease is a case of this disease
Medical records: medical records, also known as medical history and medical records, are written records made by medical staff on the course of illness and treatment of patients, are the basis for doctors to diagnose and treat diseases, and are valuable data for medical scientific research2. Different effects:
cases: mainly used for research
medical records:
medical records not only record the condition, but also record the process of analysis, diagnosis, treatment and nursing of the condition, the estimation of prognosis, and the opinions of doctors at all levels on ward rounds and consultation
as the original record of the whole process of diagnosis and treatment, medical records record the real situation of the whole process of the patient's discharge or death. Therefore, the medical record is not only the actual record of the disease, but also the embodiment of medical treatment, nursing quality and academic level
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extended data:
the earliest medical records in China:
there was a man named chunyuyi in the period of Emperor Wen of Han Dynasty. Because he was a small official in charge of granary when he was young, people called him "Canggong". When he was a child, his family was very poor. Many of his relatives had no money for medical treatment because of illness and left the world prematurely. This tragic reality inspired Chunyu Yi, who decided to study medicine himself to save the lives of patients
As a result, while managing the granary, he searched everywhere for prescriptions and sought good doctors. Soon he became a learned doctor who could predict the life and death of patients and had many strange and ancient prescriptions. The earliest "medical record" in Chinese medicine was initiated by chunyuyi Chunyuyi is a careful person. When he treats people, he always writes down the patient's condition and his own diagnosis and treatment methods. At that time, people called it "medical record", now we call it "medical record" When Sima Qian, a historian of the Han Dynasty, wrote a biography of Chunyu Yi in Shiji, he abstracted and recorded 25 medical records of him, which is the earliest "medical records" of the ancients that we can see now