1         鑳屾櫙鑸囩従(xi脿n)鐙€

1.1    鑳屾櫙

      寰�09骞撮枊濮�锛屽湅瀹跺拰琛�(w猫i)鐢熼儴鍏堝悗鍑鸿嚭浜嗐€婇棞浜庢繁鍖栭啱(y墨)钘ヨ(w猫i)鐢熼珨鍒舵敼闈╃殑鎰忚銆�銆併€�2009-2011骞存繁鍖栭啱(y墨)钘ヨ(w猫i)鐢熼珨鍒舵敼闈╁鏂芥柟妗堛€�銆併€婂熀浜庡仴搴锋獢妗堢殑鍗€(q奴)鍩熻(w猫i)鐢熶俊鎭钩鑷哄缓瑷柟妗堛€�銆併€� 闆诲瓙鐥呮妯欐簴寰佹眰鎰忚绋裤€嬪緛闆嗗拰銆婂熀浜庨浕瀛愮梾姝风殑閱�(y墨)闄俊鎭郴绲�(t菕ng)寤鸿ō鏂规銆嬬瓑澶氬€嬫枃浠�锛涙彁鍑鸿寤虹珛瀵︾敤鍏变韩鐨勯啱(y墨)钘ヨ(w猫i)鐢熶俊鎭郴绲�(t菕ng)锛屼互鎺ㄩ€插叕鍏辫(w猫i)鐢熴€侀啱(y墨)鐧�銆侀啱(y墨)淇�銆佽棩鍝�銆佽病鍕欑洠(ji膩n)绠′俊鎭寲寤鸿ō鐐鸿憲鍔涢粸锛屾暣鍚堣硣婧�锛屽姞寮蜂俊鎭婧栧寲鍜屽叕鍏辨湇鍕欎俊鎭钩鑷哄缓瑷紝閫愭瀵︾従(xi脿n)绲�(t菕ng)涓€楂樻晥銆佷簰鑱�(li谩n)浜掗€�銆傞啱(y墨)钘ヨ(w猫i)鐢熶俊鎭寲寤鸿ō鏄繁鍖栭啱(y墨)钘ヨ(w猫i)鐢熼珨鍒舵敼闈┿€佸缓瑷湇鍕欏瀷鏀垮簻銆佷績閫插鐝�(xi脿n)閱�(y墨)钘ヨ(w猫i)鐢熶簨妤�(y猫)鍋ュ悍鐧�(f膩)灞曠殑閲嶈鎵嬫鍜屾妧琛�(sh霉)鏀拹銆傛湭渚�3骞村収(n猫i)鍚勭礆鏀垮簻闋愯▓鎶曞叆8,500鍎勫厓瀵﹁閱�(y墨)鐧傛敼闈╋紝閫欐槸涓€鍊嬫經鍔涘法澶х殑甯傚牬銆�

      鏍规摎(j霉)琛�(w猫i)鐢熼儴鐨勮姹�锛屽悇绱氶啱(y墨)鐧傛妲�(g貌u)鍙婂叾绠＄悊鍠綅瑕侀€愭鐨勫缓绔嬩互鎮ｈ€呯偤涓績鐨勯浕瀛愮梾姝风郴绲�(t菕ng)锛屽崁(q奴)鍩熷寲鐨勯浕瀛愬仴搴锋獢妗堢郴绲�(t菕ng)锛屼互婊胯冻浜哄€戝皪鍊嬩汉鍋ュ悍淇℃伅鐨勫悇绋渶姹�锛屽悓鏅�锛屽皪涓婅堪淇℃伅绯荤当(t菕ng)閫茶寤ｆ硾鐨�銆侀珮搴︾殑浜掕伅(li谩n)浜掗€�銆�

1.2鐝�(xi脿n)鐙€

1.2.1 寰炵礄瀵梾姝峰埌闆诲瓙鐥呮

      鍦ㄩ啱(y墨)鐧傜郴绲�(t菕ng)淇℃伅鍖栫殑璧锋鍜岀櫦(f膩)灞曢殠娈�锛屽悇閱�(y墨)鐧傛妲�(g貌u)鍩烘湰涓婂缓绔嬩簡闈㈠悜鏀惰不绠＄悊鐨凥IS銆丩IS銆丳ACS绛夌崹绔嬬殑閱�(y墨)鐧備俊鎭郴绲�(t菕ng)銆傚皪浜庣梾姝蜂締瑾紝浠嶇劧閲囩敤绱欒唱(zh矛)鐨�銆佹墜瀵殑鍌崇当(t菕ng)鐥呮锛屽涓嬪湒鎵€绀猴細

             鍦�1 绱欒唱(zh矛)鐥呮涓€闋�                        鍦�2 瑁濊▊鎴愬唺鐨勭梾姝�

       閫插叆閱�(y墨)鐧備俊鎭寲鐧�(f膩)灞曠殑浠婂ぉ锛岀偤鏈夋晥鍦板鐝�(xi脿n)閱�(y墨)鐧傛妲�(g貌u)鈥滆嚚搴婁俊鎭氦鎻涘拰鍏变韩鈥濈殑闇€姹�锛岃揩鍒囬渶瑕佸缓绔嬪畬鍠勭殑闆诲瓙鐥呮銆侀浕瀛愬仴搴锋獢妗堢郴绲�(t菕ng)銆�

                 鍦�3 闆诲瓙鐥呮绯荤当(t菕ng)鐨勬煇涓€鐣岄潰

1.2.2 鐝�(xi脿n)鏈夌殑鐥呮闆诲瓙鍖栨柟娉�

      灏嶄簬瑙€瀵熻閷�銆佹渻瑷鸿閷�銆侀啱(y墨)鍥戠瓑閲濆皪鎮ｈ€呯壒寰侀渶瑕佸嵆鏅傝閷勭殑淇℃伅锛�

       1锛夊鏅傞嵉鐩ら寗鍏�

              缂洪粸锛氬鍔犱汉鍝″伐浣滃挤搴�锛岄寗鍏ラ亷绋嬪鏄撶敘(ch菐n)鐢熷樊閷�锛�

       2锛夊皥浜洪泦涓嵉鐩ら寗鍏�

              缂洪粸锛氬鍔犱汉鍝℃垚鏈�锛岀劇娉曞鐝�(xi脿n)鐥呮瀵︽檪鎬с€佸毚鏁存€�锛�

       3锛夋巸鎻忛寗鍏�

              缂洪粸锛氬鍔犱汉鍝″伐浣滈噺锛屼俊鎭笉鑳界祼(ji茅)妲�(g貌u)鍖�锛屽皫鑷翠俊鎭笉鑳芥煡瑭㈠拰绲�(t菕ng)瑷堬紱

       4锛夌従(xi脿n)鏈夌殑鎵嬪鏉块寗鍏�

              缂洪粸锛氫笉鐩磋锛屼汉姗熶氦浜掑樊銆�

2  鐮旂ゥ绲傜MCA鎳夌敤鏂规绨′粙

      鐐鸿В姹轰互涓婇洠椤�锛屼娇闆诲瓙鐥呮涓€娆℃€у畬鎴�锛屾垜鍊戞帹鍑轰簡鐢ㄤ簬EHR鍜孍MR绯荤当(t菕ng)鐨勭爺绁ョ祩绔疢CA銆�

2.1  鐮旂ゥ绲傜MCA鎳夌敤妗嗗湒

      閲濆皪涓湅闆诲瓙鐥呮鐝�(xi脿n)鐙€锛岄枊鐧�(f膩)鍑哄皥鐢ㄤ簬闆诲瓙鐥呮绯荤当(t菕ng)鐨勯啱(y墨)鐢熷伐浣滅珯骞宠嚭鐢�(ch菐n)鍝�锛屼互姝ゆ噳鐢ㄧ殑妗嗗湒濡備笅鎵€绀�銆� 

鍦�4  鐮旂ゥ绲傜MCA鎳夌敤妗嗗湒

2.2  鐮旂ゥ绲傜MCA涓昏鍔熻兘

1锛夊壍(chu脿ng)鏂扮殑鎵嬪杓稿叆鍔熻兘

      姝蜂締锛� 閱�(y墨)鐧傜郴绲�(t菕ng)鐨勪俊鎭寲鐢变簬鍏朵俊鎭噺澶�銆侀寗鍏ヤ俊鎭ó椤炲京闆滐紝鍚屾檪锛岄啱(y墨)鐢熷€戞湰韬殑閱�(y墨)鐧傚伐浣滈噺灏卞緢澶э紝浣垮緱閱�(y墨)鐢熷皪浜庣梾姝蜂俊鎭拰鍊嬩汉鍋ュ悍淇℃伅鐨勯寗鍏ヨ珖铏庤壊璁�銆�

鐮旂ゥ绲傜MCA鎻愪緵鐨勫壍(chu脿ng)鏂扮殑鎵嬪杓稿叆鍔熻兘锛屾湁浠ヤ笅鐨勫劒(y艒u)榛烇細

1. 浜烘€у寲锛氶浕鑵︽墜瀵垏鍌崇当(t菕ng)鐨勭礄璩�(zh矛)鎵嬪鎿嶄綔鐩稿悓锛�
2. 瀛哥繏鏇茬窔灏忥紝涓嶉渶瑕佸缈掑偝绲�(t菕ng)閸电洡閷勫叆鎵€闇€瑕佺殑瀛哥繏閸电洡銆佹媶瀛楁垨鎷奸煶锛�
3. 鍊熷姪浜庨浕鑵﹁紨鍔╂妧琛�(sh霉)閷勫叆鏁堢巼楂�锛岃瓨鍒ョ巼楂橈紱
4. 鎵嬪绛嗚贰淇濈暀锛岄€欐槸閸电洡閷勫叆姘搁仩閬斾笉鍒扮殑锛�
5. 鐪熸閬╁悎闆诲瓙鐥呮绯荤当(t菕ng)鐨勫ぇ鏁�(sh霉)鎿�(j霉)閲忛寗鍏ュ拰绛嗚贰淇濈暀瑕佹眰鐨勭従(xi脿n)瀵︾壒榛�锛�

2锛�涓€姗熷鐢ㄥ姛鑳�

      鐮旂ゥ绲傜MCA鎻愪緵浜哛FID銆�1D/2D姊濈⒓鎺冩弿銆佽闋�銆佸睆骞曟棆杞�(zhu菐n)銆佸彲绉诲嫊鎬х瓑澶氱ó鍔熻兘銆�

2.3  鐮旂ゥ绲傜MCA涓昏鐗归粸

1锛夊挤澶х殑鎵嬪杓稿叆鍔熻兘

      鍙皣鎵嬪鍏�(n猫i)瀹瑰悓鏅備綔鐐虹湡璺″拰妯欐簴瀛椾繚瀛橈紱鍏ㄥ睆鑼冨湇鎵嬪璀樺垾锛涢啱(y墨)鍥戣几

2锛変俊鎭�瀹夊叏鎶€琛�(sh霉)锛氶噰鐢ㄧ洰鍓嶆渶瀹夊叏CA璀夋浉鎶€琛�(sh霉)銆�

3锛夐珮瀹夊叏鎬э細鍓嶉潰鏉块噰鐢↖P54闃茶绛夌礆锛屾秷姣掓柟渚�锛涜紩渚挎姉璺岃惤銆�

3锛夐噰鐢�10瀵搁珮浜甃ED鐧�(f膩)鍏夊睆锛屽姛鑰楁洿浣�锛屽＝鍛芥洿闀凤紝鏁堟灉鏇翠匠銆�

4锛夊閫氳▕閫ｆ帴鍔熻兘锛氬収(n猫i)缃睈瀵岀殑閱�(y墨)鐧傜従(xi脿n)鍫存噳鐢ㄨō鍌�锛屾豢瓒冲閱�(y墨)鐧傝ō鍌欑殑浜掗€氫簰鑱�(li谩n)銆�

5锛夋帴鍙ｈ睈瀵岋細1鍊婾SB銆�1鍊婥OM(232/485) 銆�1鍊嬮浕婧愭帴鍙ｆ帴鍙�銆�

6锛夐洐闆绘睜鍖呯啽鎻掓嫈鏂瑰紡銆�

3  鐮旂ゥ绲傜MCA鐨勬噳鐢ㄨВ姹烘柟妗堣垑渚�

3.1鍦ㄥぇ鍨嬮啱(y墨)闄㈣垏鍚勭ó淇℃伅绯荤当(t菕ng)鍙奅HR銆丒MR鐨勬噳鐢�

      涓嬮潰鐨勭ず鎰忓湒鏄爺绁ョ祩绔疢CA鍦ㄤ竴鍊嬪ぇ鍨嬮啱(y墨)闄㈢殑鍚勭ó淇℃伅绯荤当(t菕ng)鍙奅HR銆丒MR鐨勬噳鐢ㄦ柟妗堬細

                              鍦�5  鐮旂ゥ绲傜MCA鍦ㄩ啱(y墨)闄俊鎭郴绲�(t菕ng)涓殑鎳夌敤

3.2 鍦ㄧぞ鍗€(q奴)閱�(y墨)鐧傜郴绲�(t菕ng)涓殑鎳夌敤

      閲囩敤浜哅OM娑堟伅涓枔浠舵妧琛�(sh霉)锛屼娇寰楀悇HIS銆丩IS銆丳ACS寤犲晢鑳藉浠ユ渶灏忕殑浠ｅ児灏囩従(xi脿n)鏈夌殑绯荤当(t菕ng)鑸囨暩(sh霉)瀛楃祩绔劇绺泦鎴愶紝绡€(ji茅)鐪佹垚鏈�銆�

       涓嬮潰鏄竴鍊嬬ぞ鍗€(q奴)閱�(y墨)鐧傜郴绲�(t菕ng)鑸嘐MR銆丒HR绯荤当(t菕ng)鐨勯泦鎴愶細 

鍦�6  鐮旂ゥ绲傜MCA鍦‥HR銆丒MR绯荤当(t菕ng)鍙婄ぞ鍗€(q奴)閱�(y墨)鐧備俊鎭郴绲�(t菕ng)鐨勬噳鐢�