NG DNG CNG NGH THNG TIN TRONG

BO CO THNG K Y T TI TP. H CH MINH -

THC TRNG V GII PHP
ThS. Cao Xun Phong
S Y t TP. H Ch Minh
Tm tt:
Nhn thc c vai tr quan trng ca vic a ng dng cng ngh
thng tin vo cng tc bo co thng k y t, ngay t nhng nm cui ca
thp k 90, S Y t Thnh ph H Ch Minh trin khai phn mm Qun l
h so bnh n p dng thng nht cho cc bnh vin trn ton thnh ph v
i km vi n l h thng bo co thng k bnh vin qua mang. Tuy nhin,
mc d vn c duy tr thuc hin cho n ngy hm nay, nhng h thng
bo co ny cng vi cc h thng bo co thng k y t ca tuyn phng
x, qun huyn c trin khai sau ny bc l nhiu bt cp, thm ch i
khi tr thnh gnh nng cho cn b lm cng tc thng k trong ngnh y t.
Bi vit ny nhm nh gi lai thuc trang ca h thng vic bo co thng
k y t tai Thnh ph H Ch Minh trong thi gian va qua v t , xut
cc gii php ng dng cng ngh thng tin xy dung h thng thng tin
bo co thng k y t ca thnh ph, va p dng c cho cc loai phn
mm khm cha bnh, phn mm qun l cc chong trnh sc khe, qun l
phng chng djch bnh. ang c s dng tai cc co s y t, va m
bo kh nng tch hp v trao i thng tin vi cc h thng thng tin y t
khc. Mc ch cui cng l lm cho s liu bo co thng k y t thuc su tr
thnh ngun d liu tin cy, h tr c luc cho cng tc hoach jnh chnh
sch, lp quy hoach, xy dung k hoach. ca cc co quan qun l nh nc
v y t.
1 THC TRNG H THNG THNG TIN BO CO THNG K Y T TI TP.
H CH MINH
1.1 Tng quan hoat dng bo co thng k y t tai TP. H Ch Minh
S Y t TP. H Ch Minh c 47 on vj truc thuc, bao gm 2 Chi cc; 32
bnh vin a khoa, chuyn khoa tuyn thnh ph; 12 on vj thuc lnh vuc du
phng, trung tm chuyn ngnh (sau y gi tt l trung tm chuyn ngnh)
v 1 on vj kinh doanh sn xut.
i vi cc on vj y t truc thuc y ban nhn dn (UBND) qun huyn
bao gm 23 bnh vin tuyn qun/huyn, 24 Trung tm Y t du phng
qun/huyn (TTYTDPQH); 322 Tram y t phng/x (TYTPX) truc thuc cc
1
TTYTDPQH, S Y t chju trch nhim hng dn v chuyn mn, k thut.
Ngoi ra, S Y t cn chju trch nhim qun l v chuyn mn, k thut i
vi 43 bnh vin ngoi cng lp trn ja bn thnh ph.`
Mt trong nhng cng tc quan trng trong ngnh y t l cng tc lp bo
co thng k v cc hoat ng y t, v tnh trang sc khe ca ngi dn
phc v cho cng tc qun l, hoach jnh chnh sch, lp quy hoach ngnh,
xy dung k hoach. ca cc co quan qun l v y t.
Trong bi vit ny chi cp n cc loai bo co thng k y t theo h
thng chi tiu thng k ngnh y t v h thng s sch, biu mu bo co do
B Y t quy jnh; cc s liu bo co thng k phc v cc chong trnh sc
khe quc gia v thnh ph.
i vi ngnh y t thnh ph, co quan bo co, cung cp s liu l cc co
s khm cha bnh thuc thnh ph (k c ngoi cng lp); cc trung tm
chuyn ngnh; TTYTDPQH; cc tram y t phng x. Co quan tng hp bo
co gm cc TTYTDPQH; mt s trung tm chuyn ngnh; S Y t.
Cn c vo mc ch phc v, c th phn h thng thng tin trong bo
co thng k y t thnh hai mng: Mng phc v cng tc khm cha bnh v
mng phc cng tc phng chng djch bnh, chm sc sc khe tai cng
ng.
1) Mng phc v cng tc khm cha bnh:
on vj bo co, cung cp s liu: Tt c cc co s khm cha bnh
thuc thnh ph, k c ngoi cng lp.
on vj tng hp s liu: S Y t.
Ni dung bo co thng k: Cc thng tin v hoat ng khm cha
bnh; dc, bo him y t, nhn luc, ti chnh, o tao. trong pham vi on
vj.
2) Mng phc v cng tc phng chng djch bnh, chm sc sc khe tai
cng ng:
on vj bo co, cung cp s liu: Cc trung tm chuyn ngnh,
TTYTDPQH, TYTPX.
on vj tng hp s liu: TTYTDPQH, mt s trung tm chuyn ngnh,
S Y t.
Ni dung bo co thng k: Cc thng tin v hoat ng phng chng
cc bnh truyn nhim gy djch v bnh quan trng, bnh x hi.; hoat ng
chm sc sc khe sinh sn v k hoach ha gia nh; hoat ng chm sc
sc khe tr em; hoat ng ca cc chong trnh mc tiu quc gia, cc
chong trnh sc khe ca thnh ph; thng tin v ngun luc y t. trn ja
bn m on vj ph trch.
jnh ky mi ba thng, cc on vj phi thuc hin bo co theo h thng
biu mu quy jnh cho tng tuyn on vj nh sau:
2
TYTPX: Thuc hin 8 biu mu bo co gi TTYTDPQH.
TTYTDPQH: Tng hp bo co ca cc tram y t trn ja bn. Thuc
hin 15 biu mu bo co gi Phng Y t, S Y t; tng hp s liu v cc
chong trnh sc khe c trin khai trn ja bn gi cc trung tm chuyn
ngnh v cc on vj khc.
Cc bnh vin thuc thnh ph: Thuc hin 11 biu mu bo co gi s
Y t.
S Y t: Tng hp bo co t cc bnh vin, cc TTYTDPQH, cc
trung tm chuyn ngnh. Thuc hin 19 biu mu bo co gi B Y t; tng
hp thng tin gi UBND Thnh ph v cc co quan c thm quyn theo quy
jnh.
Hnh 1.1: S t chc h th!ng "#o c#o th!ng $% & t t'i TPHCM
1.2 Thc trang ng dng cng ngh thng tin trong bo co thng k y
t tai Thnh ph H Ch Minh
Cc thng tin v s liu thu thp c qua t kho st hin trang ng
dng CNTT tai 32 bnh vin, 15 TTYTDPQH, 6 trung tm chuyn ngnh trn
ja bn thnh ph vo thng 10/2011 va qua cho thy r nt hon v hin
trang ng dng CNTT vo h thng bo co thng k y t ca thnh ph.
3
1.2.1 Hin trang h thng bo co thng k trong lnh vuc khm, cha bnh
jnh ky mi ba thng, cc bnh vin thuc thnh ph phi thuc hin 11
biu mu bo co gi S Y t. Vic tao bo co tai cc bnh vin c thuc
hin theo nhiu cch thc khc nhau, ty theo tng on vj:
Kt xut tu ng t phn mm qun l bnh vin thnh cc tp tin
bo co theo dang chun quy jnh v in ra cc biu mu bo co.
Nhp s liu bng tay vo cc phn mm bo co thng k (nh
Medisoft 2003) tao ra cc tp tin bo co theo dang chun quy jnh v
in ra cc biu mu bo co.
Nhp s liu v in biu mu bo co hon ton bng tay.
S BV duc
kho st
S BV c phn
mm QLBV
S BV c phn
mm kt xut
b/co t dng
hon ton
S BV phi nhp s
Iiu bng tay vo cc
phn mm BCTK
S BV tao b/co
hon ton bng tay
32 31
16
(50%)
12
(37,5%)
4
(12,5%)
Hnh 1.(.1: Th!ng $% )* c#ch thc t'o "#o c#o c+a c#c "nh )in
Cc jnh dang d liu bo co ang s dng gm c:
D liu dang DBF xut ra t phn mm Qun l h so bnh n theo
quy jnh ca S Y t.
Hnh 1.(.(: ,- .iu /'ng ,01 t2ong 34t $5 "#o c#o c+a 34t n )6 "ao g3 1(7 t89 tin
Cc tp tin dang XML kt xut t phn mm Medisoft 2003 theo quy
jnh ca B Y t.
Cc tp tin cha biu mu bo co dang Excel.
4
Hnh 1.(.:: ,- .iu /'ng ;<c=. t2ong 34t $5 "#o c#o c+a 34t n )6 gi )* S Y t.
Tnh hnh s dng phn mm qun l bnh vin tu ng kt xut ra
cc dang bo co tai cc bnh vin:
S BV
duc
kho st
S BV c
phn
mm
QLBV
S Cty
cung cp
phn
mm
S BV t
pht trin
phn mm
S BV kt
xut duc
bo co
dang DBF
S BV kt xut
duc bo co
dang Medisoft
2003
S phn
mm QLBV
tuong thch
HL7
S BV kt
xut duc s
Iiu cho
BHYT
32 31 21 2 21 15 12 24
Hnh 1.(.7: Tnh hnh >? /@ng 9hAn 3*3 BuCn .D "nh )in E $t <uFt "#o c#o t'i c#c n
)6
Cch thc gi bo co n B Y t, S Y t:
Gi bo co giy theo ng cng vn cho S Y t.
Gi gi s liu bo co di dang DBF theo giao thc FTP (File
Transfer Protocol) n my ch FTP ca S Y t.
Gi gi s liu bo co c kt xut di dang XML qua ng e-
mail cho B Y t.
Gi biu mu bo co di dang Excel qua ng e-mail hoc
mang truc tip n S.
S BV duc
kho st
S BV gi b/co
theo giao thc FTP
S BV gi b/co
bng e-maiI
(dang ExceI/XML)
S BV gi b/co
theo c 2 cch
FTP v e-maiI
S BV c gi b/co
trc tip cho BYT
32 10 28 10 28
Hnh 1.(.G: C#ch thc g?i "#o c#o c+a c#c n )6 cho S Y t
5
Tai S Y t, d liu bo co thng k ca cc on vj c tng hp
bng cch:
Dng phn mm Qun l h so bnh n ca S Y t tu ng tng
hp d liu dang DBF c gi v my ch FTP ca S. Hin nay, do
chi c mt s on vj cn tun th vic gi d liu bo co theo dang ny
v S nn khng th s dng phn mm ny kt xut ra bo co gi
B Y t.
Dng chong trnh Excel tng hp d liu t cc tp tin bo co
dang Excel ca cc on vj gi v v tao bo co gi B Y t. y cng l
cch thc ang c s dng ch yu thuc hin cng tc bo co
thng k trong lnh vuc khm, cha bnh hin nay tai S Y t.
1.2.2 Hin trang h thng bo co thng k trong lnh vuc phng chng djch
bnh, chm sc sc khe tai cng ng
Tai cc tram y t phng x:
Tram y t phng x l noi xut pht ca phn ln s liu s dng
trong cng tc bo co thng k thuc lnh vuc sc khe cng ng. Ngoi
vic gi bo co theo 8 biu mu quy jnh cho TTYTDPQH theo jnh ky mi
ba thng, cc tram y t phng x cn phi bo co theo tun/thng v hoat
ng ca tram theo yu cu ca TTYTDPQH cp trn. S liu bo co c
tng hp t 8 s ghi chp ban u tai TYTPX.
Cc TYTPX thng dng Excel nhp s liu bo co theo jnh dang
ca biu mu bo co giy. Sau gi file bo co qua e-mail hoc chi gi
bo co bng giy cho TTYTDPQH. Trong mt s trng hp, vic bo co
cng c thuc hin qua in thoai.
Tai trung tm y t du phng qun huyn:
Tai TTYTDPQH, ngoi vic tng hp s liu ca cc tram y t trn ja
bn tao 15 biu mu bo co theo quy jnh ca B Y t, cc TTYDPQH
cn phi thu thp v tng hp s liu bo co cho cc chong trnh sc
khe quc gia/thnh ph c trin khai trn ja bn nh chong trnh Phng
chng Lao, Phng chng tai nan thong tch.
Qua kho st tai 15 TTYTDPQH, ta thy hin trang cng tc bo co
thng k y t tai tuyn ny nh sau:
Tt c cc on vj c kho st u cha c phn mm qun l
thng tin y t ca on vj. Cha c cng c tu ng tng hp s liu v
kt xut ra bo co. (Hin c 2 on vj ang trong giai oan th nghim h
thng qun l thng tin bo co thng k y t t phng x n qun
huyn di dang ng dng eb).
Nhiu loai bo co, thng k chi c trao i bng vn bn giy.
Ngoi ra, Excel vn l cng c ch yu cc on vj nhp s liu v tao
bo co (file hoc giy) gi cc co quan c thm quyn.
6
Ngoi bo co thng k thng quy phi thuc hin, TTYTDPQH cn
phi nhp thm s liu cho cc chong trnh sc khe c phn mm qun
l ring c trin khai trn ja bn.
Tai cc trung tm chuyn ngnh:
Tai cc trung tm chuyn ngnh, ty thuc vo chc nng v nhim v
m cc trung tm ny s thu thp, trao i thng tin vi cc TTYTDPQH v
mt s bnh vin c lin quan n cc lnh vuc, cc chong trnh sc khe
m mnh ph trch.
Phn ln s liu chuyn mn c cc trung tm qun l bng nhng
phn mm nh, ring l (thng l di dang ng dng trn ccess hoc
Excel). Tuy nhin cng c on vj trin khai c h thng thu thp, phn
tch v bo co s liu tong i hon chinh nh phn mm DHS2 chay trn
nn eb phc v cho chong trnh Sc khe b m tr em tai TT Chm sc
Sc khe sinh sn, hoc cc h thng thu thp s liu ca chong trnh
phng chng HV/DS.
Vic bo co cho B Y t, S Y t v cc co quan khc ch yu di
dang vn bn hoc biu mu ty theo yu cu ca co quan nhn bo co.
1.3 Nhn xt v hin trang ng dng CNTT trong bo co thng k y t
tai TP. H Ch Minh
1.3.1 Trong lnh vuc khm cha bnh
Vic ng dng cng ngh thng tin (CNTT) trong bo co thng k y t
c tp trung nhiu vo mng khm cha bnh qua nhng phn mm bo
co thng k qua mang c S Y t, B Y t trin khai p dng t rt sm.
C rt nhiu phn mm qun l bnh vin do cc cng ty khc nhau
pht trin c s dng tai cc bnh vin. Thm ch, trong mt on vj c n
4 - 5 cng ty tham gia vit cho cc phn h khc nhau. Cc phn mm ny c
quy m v c th khc nhau, s dng nn tng cng ngh v h qun trj co
s d liu cng khc nhau. Nn vic trao i d liu gia tt c cc phn
mm ny vi mt phn mm tng hp d liu ca co quan tip nhn bo co
hu nh khng th thuc hin c nu khng chuyn i sang mt dang d
liu trung gian.
Cng mt loai s liu, nhng cc on vj phi thuc hin bo co trn
nhiu jnh dang khc nhau. Nu khng c phn mm tu ng kt xut, th cc
on vj phi thuc hin nhp s liu cho tng jnh dang bo co. Vic ny rt
d dn n tnh trang sai st, khng khng ng nht v s liu trong cc bn
bo co.
Hin chi c khong 50% on vj c phn mm c th tu ng kt xut ra
bo co theo cc jnh dang quy jnh. Cn lai phi nhp s liu bng tay vo
cc phn mm bo co hoc lm bo co bng th cng. Gii php ang
c s dng hin nay l cc on vj kt xut hoc nhp s liu vo biu mu
7
bo co di dang Excel v gi cho co quan nhn bo co. Tai y, s liu
c tng hp vo cc biu mu gi co quan cp trn cng di dang Excel.
Hin nay, vic gi s liu bo co (di dang tp tin DBF, XML) cho S
Y t, B Y t vn c duy tr thuc hin. Tuy nhin, kt qu tng hp c
theo cch thc ny hu nh khng c gi trj s dng v khng c s liu
ca tt c cc on vj phi thuc hin bo co.
1.3.2 Trong lnh vuc chm sc sc khe cng ng
C th ni, vi chc nng v nhim v ca mnh, cc TTYTDPQH l
on vj phi thuc hin thu thp, trao i thng tin an xen vi nhiu on vj
khc nht (nh vi cc TYTPX truc thuc, mt s bnh vin c lin quan,
trng hc, tram y t ca co quan, x nghip trn ja bn, Phng Y t, S Y t
v.v.) nhng cha c h thng qun l thng tin tng th cho cc on vj ny.
Hon na, do truc thuc UBND qun huyn nn vic u t xy dung h thng
thng tin tai cc on vj ny cng ph thuc vo ngun luc, quan im ca
tng qun huyn.
Hu nh cha c mt chong trnh phc v bo co thng k ng b
no c trin khai xuyn sut t cp phng x ln n cp tinh/thnh ph
m bao gm c ht cc chi tiu y t cn thu thp tao ra cc biu mu
bo co theo quy jnh.
Do phi thu thp, tng hp s liu t nhiu ngun, gi bo co cho
nhiu noi nn thng xy ra tnh trang cng loai s liu nhng phi thu thp
nhiu ln phc v cho cc mc ch khc nhau. V d nh thng tin v
bnh st xut huyt trn ja bn, va phi thu thp thng tin t cc bnh vin,
cc ja bn dn c cho h thng kim sot djch bnh truyn nhim ca thnh
ph, va phi thu thp s liu cho cc bo co thng quy theo quy jnh
chung. Khng c su chia s, kt ni d liu gia cc h thng ny vi nhau.
Khng ch ng kim sot c vic cp nht i vi nhiu ngun
thng tin. V d nh thng tin v tim chng tr em tai cc trng mn non:
chi ghi nhn c thng tin lc tr mi nhp hc, cn sau , trong nm hc,
th khng thu thp thm c thng tin. Vic ny dn n s liu thng k
khng y .
Bn canh gi cc biu mu bo co di dang Excel. Vic gi bo co
dang vn bn giy theo ng cng vn vn c s dng kh ph bin.
Nhn luc v ha tng CNTT khu vuc ny cng tong i thiu v yu
so vi khi bnh vin.
2 YU CU XY DNG H THNG BO CO THNG K Y T
Trc thuc trang trn, s liu bo co thng k y t thuc su tr thnh
ngun d liu tin cy, h tr c luc cho cng tc qun l ca cc co quan
8
qun l nh nc v y t, ng thi gim thiu gnh nng cho cc on vj
trong cng tc thu thp, x l s liu bo co thng k, xt ring v mt ng
dng CNTT, ta cn phi xy dung h thng bo co thng k y t p ng cc
yu cu co bn sau:
1) Chun ha d liu trong bo co:
H thng thng tin ca cc on vj c pht trin trn cc nn tng cng
ngh khc nhau v cng khng c su thng nht trong cu trc d liu hay
chun d liu c p dng. D liu bo co c kt xut ra t cc h
thng ny mc d vn y thng tin theo yu cu, nhng s khng ging
nhau v mt cu trc v jnh dang d liu. Do , c th tch hp c s
liu t cc ngun bo co ca on vj m khng cn phi thay i h thng
ang s dng tai cc on vj, mt trong cc gii php l chuyn i cc bo
co v mt jnh dang trung gian trc khi gi n noi nhn.
jnh dang trung gian phi tun th cc chun trao i d liu trong y t
theo quy jnh/hng dn ca B Y t hoc p dng cc chun ph bin, ang
c s dng rng ri trong nc v trn th gii, v d nh cc chun sau:
1

HL7, CD, DCM, LNC, SNMED-CT trong trao i d liu y t.
SDMX-HD trong cng tc bo co v trao i thng k y t.
2) Cht lng ca s liu
S liu bo co thng k phi at c cc yu cu v tnh y , tnh
chnh xc v tnh sn sng:
Tnh y : S liu khng nhng phi m bo cc thnh phn
thng tin theo yu cu, m cn phi m bo s lng cc ngun cung
cp s liu.
Tnh chnh xc: S liu thu thp c phi phn nh ng tnh hnh
thuc t v cc hoat ng y t ang din ra trong vic chm sc sc khe
ngi dn v tnh trang sc khe ca ngi dn tai thi im thu thp s
liu,.
Tnh sn sng: S liu sau khi thu thp phi c lu tr mt cch
khoa hc, c h thng sn sng p ng mi yu cu truy xut. Kt qu
truy xut phi m bo nht qun.
3) Tch hp d liu:
1
Theo ti liu Mt s chun v CNTT y t v cc nguyn tc p dng chun tong ngnh y t !it N"#$%
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9
m bo tnh h thng, tnh nht qun ca d liu, thng tin t nhiu
ngun, nhiu cp bo co khc nhau phi c tch hp, lu tr tp trung tai
trung tm d liu. Nh vic truy xut, khai thc, phn tch s liu mi c
thun tin v hiu qu. Tuy nhin, cng phi c co ch cc on vj cp
di c th khai thc, s dng d liu do mnh cung cp mt cch thun tin.
Trnh tnh trang s liu nhp vo h thng chi phc v cho nhu cu ca cp
trn.
4) Trao i d liu:
Do trn thuc t c nhiu yu cu phi cung cp, bo co v cng mt loai
s liu cho nhiu h thng thng tin khc nhau nn vic trch xut s liu t h
thng ny cung cp cho h thng khc nu thuc hin c s gim bt
gnh nng nhp liu nhiu ln v nh m bo c tnh nht qun ca
s liu.
Vic trao i d liu trc ht phi m bo tnh lin thng v kt ni d
liu c gia cc cp trong cng mt h thng bo co thng k. Sau , c
th m rng trch xut/tip nhn d liu t cc h thng khc.
Sau ny, khi B Y t ban hnh quy jnh thng nht v chun d liu p
dng trong cc h thng thng tin y t, th cc on vj cng phi thuc hin
chun ha lai d liu trong h thng thng tin tai on vj cho ph hp vi quy
jnh. Khi , vic trao i thng tin gia cc h thng cng s thun tin, d
dng hon.
Do ngun thng tin, cch thc thu thp d liu, h thng t chc, ha tng
v nhn luc CNTT trong lnh vuc khm cha, bnh v lnh vuc chm sc sc
khe cng ng c mt s c im khc nhau nn trc mt, phi c hai h
thng bo co thng k. Mi h thng s dng ring cho mt lnh vuc. Sau
ny, khi cc h thng n jnh th s hon thin dn i n kt ni, chia
s d liu gia hai h thng vi nhau.
2.1 M hnh h thng bo co thng k trong Inh vc khm cha bnh
Trong h thng ny, cc bnh vin truc thuc S Y t, bnh vin qun
huyn, bnh vin ngoi cng lp trn ja bn thnh ph s bo co cc s liu
v hoat ng ca bnh vin c tng hp theo cc biu mu bo co thng
k bnh vin do B Y t quy jnh v thng tin tm tt bnh n (t ba h so
bnh n) ca bnh nhn iu trj ni tr tai bnh vin trong ky bo co.
D liu bo co s thng nht p dng chun jnh dang vn bn dng
trao i d liu in t trong y t (chun HL7) v tun th cc chun trao
i d liu bo co thng k trong y t theo quy jnh ca B Y t.
Bo co ca cc bnh vin theo jnh dang thng nht c tao ra bng
cch:
Phn mm qun l bnh vin tu ng kt xut ra bo co.
10
Dng cng c chuyn i d liu bo co t cc jnh dang khc
sang jnh dang thng nht.
Nhp d liu vo cng c tao bo co theo jnh dang thng nht.
Cc on vj tao kt ni VPN (Virtual Private Netork Mang ring o)
trn mang internet n my ch ca S Y t chuyn d liu bo co theo
giao thc FTP hoc Message Queue.
S Y t nhn bo co ca cc on vj, tu ng tng hp thnh s liu
chung ca thnh ph bo co B Y t v cc co quan c thm quyn khc.
ing thng tin tm tt bnh n c tch hp vo co s d liu chung ca
thnh ph khai thc, phn tch s liu phc vic cho cng tc nghin cu,
hoach jnh chnh sch ca ngnh y t.
Hnh (.(.1: MH hnh H th!ng "#o c#o th!ng $% t2ong .Inh )Jc $h#3 ch-a
"nh
2.2 M hnh h thng bo co thng k trong Inh vc chm sc sc
khe tai cng dng
H thng bo co thng k trong lnh vuc chm sc sc khe tai cng
ng dnh cho cc co s y t t tuyn phng x n thnh ph, bao gm
TYTPX, TTYTDPQH, cc trung tm chuyn ngnh v S Y t thuc hin bo
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co s liu thng k v tnh trang sc khe nhn dn trn ja bn ph trch
2
v kt qu thuc hin cc chong trnh sc khe quc gia, chong trnh sc
khe ca thnh ph theo quy jnh.
c th trin khai rng ri n cp phng x, h thng ny s c
trin khai di dang ng dng trn nn eb (eb-based). Vic bo co c
thuc hin truc tuyn trn co s d liu tp trung tai mt trung tm d liu.
Tuy nhin, trong tnh hnh ha tng mang tai tuyn phng x cn yu, h
thng ny phi h tr c ch bo co offline. Lc , d liu c cp nht
trn h thng cc b tai on vj v sau s c ng b vi co s d liu
tp trung.
H thng s s dng chun SDMX-HD ng b d liu bo co gia
cc cp trong cng h thng v trao i thng tin vi h thng thng tin ca
cc chong trnh sc khe khc.
C th tch hp thm vo h thng cc loai s sch ghi chp ban u
ca TYTPX.
Hnh (.(.(: MH hnh H th!ng "#o c#o th!ng $% t2ong .Inh )Jc CSSK t'i c4ng ng
2
Cc :iAu #Bu :o co thng C theo D( s EFF.GD(= +,T ngy /3 thng H nI# -..H cJ" + , t0
12
3 GII PHP THC HIN
3.1 Gii php trin khai
Hin nay, cha c quy jnh c th no v chnh sch hay k thut cho vic
p dng cc chun trao i d liu in t v thng k bo co (HL7, SDMX-
HD.) vo h thng thng tin y t tai Vit Nam. B Y t cng chi mi ban hnh
ti liu gii thiu mt s chun v CNTT y t v a ra cc khuyn co v
nguyn tc p dng chun. Ngay c phn mm Medisoft 2003 dnh cho bo
co thng k bnh vin ca B Y t v cc phn mm Medisoft khc c khng
jnh l theo chun HL7, nhng cho n nay cng cha c mt t chc no
ng ra xc nhn c im ny
3
.
Do , c th xy dung v trin khai thnh cng cc h thng thng tin
bo co thng k cho ngnh y t thnh ph theo cc m hnh xut,
trc ht cn phi nghin cu, tm hiu k v cc loai chun d liu du kin
s p dng v cc gii php trin khai ph hp. Sau mi xut lp du n
trin khai. Nh vy, vic xy dung, trin khai h thng s tin hnh qua hai
bc:
Bc 1: Nghin cu v xy dung h thng bo co thng k y t
ng k thuc hin ti nghin cu Xy dung h thng bo co
thng k y t Thnh ph H Ch Minh vi cc mc tiu chnh:
+ Xy dung jnh dang d liu bo co thng k y t v trao i d
liu y t p dng thng nht cho tt cc cc co s y t thuc thnh
ph.
+ Nghin cu xy dung m hnh h thng bo co thng k trong
lnh vuc khm cha bnh v h thng bo co thng k trong lnh vuc
chm sc sc khe tai cng ng.
Thi gian thuc hin: nm 2013. Du kin hon tt trong 6 thng.
Kinh ph thuc hin: Ngun kinh ph nghin cu khoa hc ca thnh
ph.
Bc 2: Lp du n trin khai
Trn co s kt qu nghin cu bc 1, xut vi co quan c thm
quyn lp du n u t trin khai trong nm 2013 - 2014 vi ngun
kinh ph dnh cho cc du n cng ngh thng tin t ngun ngn sch tp
trung ca thnh ph. Cng c th xut a du n kt hp vo Chong
trnh xy dung cc h thng thng tin chuyn ngnh ca thnh ph giai
oan 2012 2015.
3
Mt s chun v CNTT y t v cc nguyn tc p dng chun tong ngnh y t !it N"#$% ! &ho" h'c
v (o t)o * + , t% -./-% t"ng /KE0
13
3.2 T chc thc hin
bc trin khai du n, vic t chc thuc hin du kin nh sau:
S Y t l on vj ch tr, c nhim v thuc hin cc vic sau:
Xy dung v cng b cc ti liu c t jnh dang d liu bo co
thng k y t v trao i d liu y t p dng trong h thng bo co thng
k y t ca Thnh ph H Ch Minh. jnh dang phi ph hp vi cc quy
jnh ca B Y t v cc quy jnh chung khc c lin quan.
Xy dung cc h thng bo co thng k y t ca Thnh ph H Ch
Minh v cc cng c tao bo co theo jnh dang chun thng nht.
T chc trin khai, tp hun cho tt c cc on vj c lin quan.
Cn c vo ti liu m t jnh dang d liu bo co ca S Y t, cc
bnh vin (k c ngoi cng lp) s dng ngun kinh ph ca on vj hiu
chinh phn mm bnh vin kt xut ra bo co theo ng jnh dang quy jnh,
hoc tu tao cng c chuyn i jnh dang d liu bo co hin ang s
dng ca bnh vin sang jnh dang chun chung.
Cc co s y t tuyn phng x, qun huyn chun bj ha tng v nhn
luc CNTT trin khai p dng h thng tai on vj.
S Y t TPHCML th#ng 1MN(M1(
14