Medical Records & Statistics
Medical Records & Statistics Department
Medical Records & Statistics Department was set up in December 2001, which was made up of three departments, including the statistical room, the medical record room and the triage center.
Main functions of the Statistical Office
• Collect and submit data and statistics according to the requirements of the health administration department
• Submission of data for routine uniform statistics
• Classification and coding of disease and surgical operations according to statistical requirements
• Assist in medical, scientific research and management of special disease statistics
• Death registration management
• Electronic medical record recall management
• Support special data submission, DRGS, HQMS, etc.
There are 11 staff at the statistics office mainly encoding and statisticians, all certificates.
Main functions of the medical record room
• Filing and filing of medical records
• Manage warehouse outsourcing
• Management of digital medical records
• Medical record copying and copying service
• Outpatient and special medical records management
• Special medical records management in emergency department
At present, there are 21 staff in the medical record room, which is a graduate of health information management
People's hospital medical record room was founded in 1942,May 12, 1942,People's hospital to establish the first inpatient records,In the same year began to carry out hospital management statistics,It is one of the earliest hospitals to carry out the management of medical records and statistics.In 1958 the first name based on Chinese Pinyin index,Disease index,The disease index uses more than 7 thousand disease terms,More than 2 thousand surgical terms,Added eleven statements,Five records of admission,Twelve outpatient and inpatient index.1963 by the national Ministry of health as the national advanced medical unit,And the people's Hospital of the medical records of the national red flag unit title.In 1989, the people's Hospital independently developed and completed the first domestic computer management system,Disease classification coding and computer management of medical records in 1990,Built multi-user system,Ensure that multiple coders are encoded in a system,Disease classification management computer system has been collected since January 1, 1990 nearly 1 million online search,Statistics of the first page of medical records.Separate management of statistical room and medical record room in 1992,1995 to carry out the conversion of paper records microfilm,In January 1, 2003, the digital medical record management,The establishment of China's first digital medical record management system based on intranet,The medical records of discharged patients were scanned immediately to achieve paperless use,Termination of the medical records, Avoid data loss,Implementation of the network of medical records instead of paper printing,Completely terminated the paper hospital medical records lending activities,Put an end to the loss of inpatient medical records.2010 to carry out the management of paper-based medical records warehouse,The medical record room is the first in China to adopt specialized storage technology and management mode to manage the paper medical records.In 2001, the medical record room and statistical room were merged into the Medical Records & Statistics DepartmentNow the Medical Records & Statistics Departmentis responsible for the management of hospital records and outpatient records,Emergency medical records,Responsible for the hospital medical management statistics,Implementation of disease classification and disease statistics.