中国鄞州电子健康档案研究项目CHinese Electronic health Records Research in Yinzhou
中国鄞州电子健康档案研究项目(CHinese Electronic health Records Research in Yinzhou, CHERRY)由国家自然科学基金（91546120，81573226，91846112）和北京市自然科学基金（7162107，7182084）资助，北京大学高培教授团队和宁波市鄞州区疾病预防控制中心建立。项目基于浙江省宁波市鄞州区的区域卫生信息系统，包括人口信息数据库、健康体检信息数据库、门诊及住院病人电子病历数据库、健康保险数据库等，并整合了鄞州区疾病预防控制中心的公共卫生监测、人群筛查、疾病管理及其他健康保健服务数据，可提供鄞州区98%的常住居民的疾病及健康相关信息。
CHinese Electronic health Records Research in Yinzhou (CHERRY), funded by national natural science foundation of China (91546120,81573226,91846112) and Beijing natural science foundation (7162107,7182084) , was established by the team of Professor Gao of Peking University and the Yinzhou District Centre for Disease Control and Prevention. The project was based on the regional health information system of Yinzhou District of Ningbo in Zhejiang province, including the population information database and health check information database, inpatient and outpatient electronic medical record database, health insurance database, etc. And the project has integrated public health surveillance, population screening, disease management, health information system in hospitals and other healthcare services, which has covered nearly 98% residents’health-related information within this region.
本团队隶属于北京大学公共卫生学院流行病与卫生统计学系，团队负责人为高培教授，另有团队成员共6人，包括副教授1名，博士生1名，研究生4名。高培教授具有丰富的海外著名院校科研经历，在心血管流行病和医学统计领域有多年的研究工作经验，于2015年入选第十一批国家“千人计划”青年人才，在Lancet、JAMA、Circulation等国际顶级学术期刊发表多篇SCI论文。 Our research team is composed of 7 members (1 professor, 1 associate professor, 1 doctoral candidate and 4 master candidates) from Peking University School of Public Health. The team leader, Professor Gao Pei, has rich research experience in cardiovascular epidemiology and medical statistics. She was selected as one of the eleventh national “Thousand Talents Program” in 2015, and has published many SCI papers in Lancet, JAMA, Circulation and other international academic journals.
Based on the data sources in health information system of Yinzhou district, the CHERRY study, a natural, longitudinal, population-based ambispective cohort study for outcomes research was established in 2016. The overall design of the study has been published in BMJ Open(2018; 8(2):e019698).
Yinzhou is a district of Ningbo in Zhejiang province(29°37′-29°57′ N, 121°08′-121°54′ E), located 230 km south of Shanghai, China, with an area of 1346km2. Yinzhou had a total population of 1.24million in 2016, including 790,600 permanent residents. This district has jurisdiction over 25 towns (townships, streets) and 535 administrative villages (communities and neighborhood committees). There are 8 comprehensive hospitals, 41 hospitals/health service centers, and 320 community health service stations.
浙江省宁波市鄞州区（图）为国家卫生信息化试点区域之一，宁波市鄞州区疾病预防控制中心对该地区区域卫生的信息化建设从2006 年开始发展至今已有十年历史。基于一般人群的居民 EHR 的区域卫生信息平台已经建立并运行良好。该平台的核心优势是连通了该地区所有公立医疗机构，涵盖了医院信息系统、社区卫生信息系统、人群监测系统等公共卫生信息系统中所有关键性业务数据，区域内个人健康档案与各医院电子病历系统充分共享，互联互通。至 2010年，该卫生信息平台已覆盖 98%的当地常驻人口。
This particular region is a developed area and was selected because of its outstanding general practice based primary care units and unique integrated electronic health information system. Health information systems was originally designed in 2006 by the Yinzhou District Centre for Disease Control and Prevention, which included different administrative databases of general demographic characteristics, health check information, inpatient and outpatient electronic medical records (EMRs), health insurance database, disease management and death certificates, and so on. Since 2010, this health information system has covered 98% of health-related activities of permanent residents within this region, from birth to death, including children, adolescents, pregnant women, adults and elderly people.
Databases in the health information systems are inherently linked to each other by a unique and encoded identifier for each individual. The study comprises all participants registered in the system if they: (1) were over 18 years of age on 1 January 2009; (2) have complete information on date of birth, sex and a valid healthcare identifier; (3) have been living in Yinzhou for at least 6 months; and (4) have Chinese nationality. Once included in the CHERRY cohort, individuals remain in it until death or termination of local health insurance (primarily owing to moving out of the province). Follow-up is generally continuous in the health information system. CHERRY will update certain important information such as vital status, clinical outcomes and claims data for all cohort members annually from the administrative databases. By drawing up the data dictionary, uniformed coding principle, solved conflicting and missing data embedded ,we established the population-based cohort, in which a total of 105 million adults were included.
卫生服务人员向群众科普健康知识Health service personnel to the public science knowledge of the masses