Objective To provide building strategies and suggestions for medical institutions which cooperating with third-party institutions to apply for co-built internet hospitals. Methods Taking an internet hospital of a grade-A tertiary hospital as an example, introduce its building mode and functional characteristics, share its building experience, and analyze its existing problems and countermeasures.Results Through co-built and operation exploration by two partners, the co-built internet hospital has opened up the main processes and functions of internet medical services, integrated the market-oriented operation ability of third-party institutions, accelerated the building speed with stronger team efforts, strengthened the operation results, and achieved good patient reputation and social benefits. Conclusion The co-built internet hospital has unique advantages in resource integration, which is worth exploring and trying by medical institutions according to their own condition.

目的:为患者更及时、精准地匹配对应亚专业,开发结合人工智能的互联网智能分诊平台.方法:基于大数据和深度学习技术,依据疾病诊断分类和知识库,将患者与科室、医生实现精准匹配,实现智能化的分诊功能.结果:互联网智能分诊平台已经在某大型三甲医院运行,实现了患者的精准诊疗,极大地提升了诊疗效率和质量.结论:基于人工智能的互联网智能分诊平台作为一种新型的医院智能化、智慧化应用,不仅可显著提升互联网诊疗效率,提升医疗服务水平,同时提升了患者及医务人员的满意度,具有广泛的应用前景.

结合四川大学华西医院实践经验,介绍智慧病房建设现状,分析存在问题并提出建议,包括依托信息化技术和物联网技术建设物资管理平台、物联网平台、医院集成平台,实现资产定位、信息共享、数据标准化管理等.

目的:探索大型医疗机构医疗健康大数据平台的建设路径,为医疗机构推进数据平台建设提供参考.方法:梳理、总结四川大学华西医院医疗健康大数据平台建设过程中的5个实施阶段,指出各个阶段的重要任务和实施难点;分析当前医疗健康大数据平台建设中存在的不足,明确未来持续优化的方向.结果:根据四川大学华西医院医疗健康大数据平台的建设经验,提供各个实施阶段的工作参考范式.结论:医疗健康大数据平台的建设有赖于多个学科的融合,需要各领域专家的深度合作.

This paper introduces the informatization construction of the world's first non-military Type 3 international emergency medical team (EMT Type3), which was established by West China Hospital of Sichuan University. Based on the requirements of World Health Organization (WHO) for EMT, the team built a complete information-based emergency rescue platform from the network layout, the design of software and hardware facilities and other aspects, combined with their own circumstance, which has improved the communication ability effectively, and has passed the expert certification of the WHO smoothly.

为解决医院传统手工文件流转中易丢失、效率低下、投入成本高等问题,基于私有云优势,从支撑体系、系统基本构架、流程图简要分析一站式文件流转与存储平台的创建模式,并阐述该平台创建后可实现功能,发现其具有经济有效、易于操作、可安全管理的特点,是解决医院目前文件管理困境、适应动态变化的业务需求的有效途径.

唐代县的等第,以户口、官品、俸秩、迁转次序等不同的标准看,有四等、五等、六等、七等、八等、十等诸说.从历时性而言,县等是不断增多的,由前期的六等逐渐发展到后期的十等,只是天宝时曾一度事实上取消下县,稍显波折.而望、紧、次赤、次畿县的出现,均与户口多寡无直接关系,更多地体现出"资地美恶"的特征.其中"次赤县"的问题尤其复杂,因其牵涉"赤县"的广义和狭义问题,综合分析,次赤县制度在传世文献中出现,不晚于唐德宗初年,很可能最迟代宗初期已经产生.而代宗末年至德宗前期形成的俸秩,对唐后期乃至五代的县之等第,也有新的影响.五代皆以户口多少定县的等第,只是不同王朝有不同的标准,繁简不一.通观唐五代县之等第,总体上呈现出从官品本位到以俸秩为准的演变路径.

分析医疗信息化人才建设现状及需求,从岗位设置、考核机制、继续教育体系、专项建设、人文关怀等方面阐述医疗信息化人才培养方案,为相关研究提供参考.

新型冠状病毒肺炎作为乙类传染病,采取甲类传染病的防控措施.面对四川地区医疗资源分配不均的现状、传统信息传播途径带来的风险和严峻复杂的防控形势,四川大学华西医院结合自身实际和优势,对新型冠状病毒疫情形势下在线防控与诊疗模式进行探索实践.通过线上快速全覆盖培训医卫人员,面向大众及特定个体进行科普宣教、在线诊疗咨询、5G远程会诊等方式实现信息资源、专家资源和技术资源的共享,为打赢疫情防控阻击战贡献华西智慧.

结合四川大学华西医院实践,从系统规划、开发及使用、机房管理、网络管理、系统资源、信息安全等方面分析医院信息系统风险,探讨风险防控视角下公立医院相应内控原则并详细阐述医院信息系统内部控制活动,以提高医院信息化管理能力,助力医院发展.

目的 调查了解四川省成都市公立医院官方微信公众平台的运行状况.方法 通过发放问卷和实地调查的方法,对成都市20所公立医院的官方微信公众平台运行状况进行调研,分析其运行状况.结果 被调研医院都开通了医院官方微信公众平台,系统认证18所,在线服务9所.普遍有医院介绍、预约挂号、当日挂号、科室介绍、就医指南、查询报告单等功能,较少开通医院文化、医院通知、微官网菜单、住院查询、缴费查询等功能.年龄、月收入、日手机入网时间均与医院官方微信公众平台使用率呈正相关(P＜O.05).结论 医院官方微信公众平台在成都市公立医院中已实现了广泛应用,功能较为完善,但在线服务与个性化服务功能还有待加强.

汉昭帝皇后之父上官安最后的官职,诸史往往作骠(票)骑将军或车骑将军,然二者地位皆高于左将军,《汉书·昭帝纪》所载两次具名却皆在左将军之后,不符合官场逻辑.西汉元、成间博士褚少孙所补《孝昭以来侯者表》,上官安的官职三处皆作"骑将军",应更符合实际情况.一则褚少孙生活的时代比班氏父子早,更能得到原始史料,《孝昭以来侯者表》的史料价值高于《汉书》的相关记述;二则骑将军地位低于左将军,逻辑上没有问题;三则骑将军正对应上官安之前的官职骑都尉,顺理成章;四则骑将军误为骠(票)骑将军或车骑将军的情况屡有发生,凡此种种,均说明上官安终官应是"骑将军".坐实上官安去世前的官职为骑将军,对认识和理解西汉尤其是昭、宣时期的政治,不无裨益.

唐代岭南地区的地方行政十分复杂而特殊,就其官制来说,除了众所周知的羁縻府州土官制度和正州全国流官制之外,在正州系统内,还至少存在着两种特殊的官制:一种是与羁縻府州土官制相似的正州"世官制",即在正州中,也存在着官员的终身世袭现象,并为朝廷所认可,成为制度长期实行;另一种是官员的区域迁转制度,即官员的升迁和流动,不超出岭南道这个地理区域,可称之为"区域流官制".就目前掌握的史料来看,该制度以盛唐时期的岭南道最为典型.

“方镇”是治史者耳熟能详的一个概念,但至今无人对这个概念本身做过令人信服的研究.钩稽史料可以发现,从魏晋开始,方镇(或藩镇)一词就广被使用,其涵义一般指藩维中央的地方实权人物或机构,至晚唐犹然.而唐后期方镇的涵义,具体分析,有三种:“特指”节度使;“泛指”涵盖州刺史的所有地方实权派;“常指”直属于中央的府、州,既包括节度使、观察使等连帅大府,也包括中央直管的单州.并且,我们通常所指的方镇,其实是中央由上而下地看待地方的一个横截面.若要从下而上纵向地审视地方行政的层级,我们或许可以引进“都府”这一概念,从而将其与中央直管的单州区别开来,以便更好地理解方镇.

岭南僻处南疆,地理复杂.隋末大乱之时,地方势力纷纷割据,唐初和平统一岭南后,采取羁縻政策,以原有势力为基础设管州的“都府”.而在都府之上,朝廷以广州、桂州、交州为中心置“统府”,以点控面,有效地维护了岭南地区的稳定.但是这种层层管理的“统府三分格局”,到高宗乾封二年发生突变,随着邕府和容府的建立,原统府消失,遂形成并立的“五府格局”.可是,最迟8世纪初,唐朝设立岭南五府经略使,统一管理整个岭南的军事.在此前后,岭南选补使、岭南按察使、岭南采访使等陆续出现,在人事、监察、民政等领域,对岭南道全境实施管辖权.因此,“盛唐”的岭南道,表现出明显的“归一”趋势.

当我们把七大古都在地图上一一标示出来,仔细观察,可以发现,所有的这些大古都均分布在秦岭—大别山一线以北,大别山在政治地理上的分界线意义要高于淮河;并且,所有的大古都均分布在五镇山的范围内,“五镇”是王朝正统性在体国经野方面的完美体现,其政治文化的象征意义超过五岳;另外,七大古都也主要集中在黄淮海大平原及其周边地区,且与大江、大河或运河的关系极其密切.

General asisting in governing a country was a very important general title during the Three Kingdoms peri-od.They were so powerful that they were next to three ducal ministers in Sun Wu state.While in the kingdom of Shu Han,they were not in the very high position.At the beginning of Cao Wei,they were in the high position,but they did not have much real power.In the later period,they declined in status,whose position were below general of the forward army and its other peers.The Western Jin dynasty inherited the system from the late stage of Cao Wei.

唐初高祖、太宗两朝,在岭南地区的统治是层层管辖的“统府三分格局”.高宗朝乾封年间,岭南的政治地理格局发生巨变,容州、邕州升为都督府,与桂府、广府、交府并立,在此前后,龚州、崖州、驩州等三个都督府罢废,于是原有的“三分格局”瓦解,新的“五府格局”被建立起来.伴随着容府的设置,其附近地区原“蛮獠”之地,纷纷建立州县.而容府地处的容江通道一带,“蛮獠”之乱也逐渐平息,岭南陆上的南北交通大道遂畅通无阻.

From the late Sui dynasty to the early Tang dynasty, the separatist regimes located in remote south of the Five Ridges which didn't try to seize control of the whole empire during the chaotic era, and therefore presented a comparatively equable situation. But that's just a false appearance. In fact, the confused situation of this area was not better than the central plains of China's on account of the complexity of the natural environment and social circumstances in it. This paper restitutes the politics situation, and singly outlining all of separatist forces in south of Five Ridges by combining together administrative geography research method with political history research method, then correcting and recovering some correlative historical records. For example, the former are Deng Wenjin, Ning Changzhen, Feng Ang's separatist forces etcetera which were exaggerated, the later are like Li Guangdu and Chen phratry who was in surrounding area of the South Kang Zhou(南康州), their position of strength were neglected by the historical records, and so on.

Plenty of studies were conducted on Dao of Tang Dynasty,but mostly lack of innovation.This essay is based on some newly-found materials in addition to which the author made some close analysis on used materials.On the basis of some groundwork our predecessors already did,the author raised the following new viewpoints on evolution of Dao in Tang Dynasty.During Yong-hui reign-period of Emperor Gao Zong of Tang Dynasty,13 Daos had already appeared.When Wu Zetian was in power,it had returned to 10 Daos.Until the seventeenth year of the Kai-yuan reign-period,formal 15 Bus had finally taken shape.During Kai-yuan and Tian-bao reign-period,there were 16 Bus actually.Until the end of Tang Dynasty,the statement of "15 Daos" had hardly been seen while "10 Daos" had been usually used.