Adolescent health data management system operation process

The core operation logic of the adolescent health data management system is a four-step closed loop of "data collection - compliance verification - scenario application - secure archiving" based on permission hierarchy. There is no unified operation process applicable to all roles. All operations must comply with the management requirements of the "Special Plan for Health Promotion Action for Primary and Secondary Schools" and "Minor Internet Protection Regulations" for the management of sensitive information on adolescent health.

Let’s start with the school doctor’s operations that everyone has the most contact with. When I provided practical guidance to 32 primary and secondary schools in Xicheng District last year, the most common scene I saw in the first week of school was the school doctor squatting in front of the computer with a pile of physical examination forms to record data, and was interrupted from time to time by students with fevers who broke in. In fact, all experienced students know that before enrolling, scan the student's electronic student status card to retrieve basic information, which saves half the time compared to manually inputting the student number. If you encounter abnormal value reminders that pop up in the system (for example, the height is 190cm, and the BMI is far above the age range), don't rush to skip it. It is probably because you entered the wrong line or read the wrong number on the physical examination form. If there are special circumstances, you must also note the reason, otherwise the disease control department will have to call you back for review when the data is pulled.

At this point, I have to mention the collection rhythm issue that has been debated in the industry for a long time. There is no standard answer at all: one school advocates "one-time full collection at the beginning of school", recording height and weight, vision, vital capacity, past medical history, and allergen information at once. The advantage is that it is done once and for all, and you don’t have to worry about recording data in the next semester. The disadvantage is that the error rate can reach 15% when you are rushing to meet the schedule. The most outrageous thing I have ever seen is that a school doctor filled in the number of cavities on a student to 32. It is impossible to have this number even if all the teeth in the mouth are rotten.； The other group advocates "decentralized collection by scene". Physical fitness data is recorded during physical examinations, health indicators are recorded during routine physical examinations, and medical history and allergy history are updated simultaneously when receiving leave notes. The advantage is that the accuracy rate can reach more than 98%, but the disadvantage is that the front line is stretched and it is easy to miss records. Both models are available in the schools I have contacted. The key lies in the manpower of the school doctor. In schools where there is only one school doctor who is also responsible for daily triage, almost all schools choose decentralized collection, and they cannot stay up all night and work overtime in order to catch up with the schedule.

The operation on the parent side is much simpler. Basically, you only need to do two things: authorize the school to collect sensitive health information of the child during the beginning of the school year. If there are special circumstances (such as new allergens, recent surgery and no strenuous exercise), just update it in the system in a timely manner. Don't think this operation is useless. I have encountered a real incident in a primary school in Haidian: a child was allergic to mangoes. The parents had just updated the allergen certificate in the system. The next day, there happened to be mango pancakes in the cafeteria. The system at the food preparation table directly displayed the child's allergy reminder. The aunt specially changed the snacks when she was cooking. If I had relied on paper allergy notifications before, I might have missed some link.

As for the management operations of the Education Bureau and Disease Control Department, the core is to adjust data on demand. There is no need to send notifications to schools one by one and receive reports as in the past. The system directly generates statistical reports based on demand. For example, if you want to check the year-on-year changes in the myopia rate of primary and secondary school students in the district, just select a time range and export it. It can also automatically filter out outliers to prevent schools from changing data in order to collect compliance rates. Of course, there is also an industry controversy here: many people now advocate that the data should be stored on the school's local server. The response is fast and there is no need to worry about being unable to log in if the government cloud collapses. ； Another group of people insist on the existence of a unified government cloud, which is highly secure and the data cannot be lost even if the school computer breaks down. The current practices are different in various places, and there is no unified conclusion yet.

To be honest, the easiest pitfall in operation is not the system function, but the fact that everyone uses Excel to import data in batches to save trouble. Last month, a teacher from a district came to me for help. When explaining the data, the gender column was reversed. As a result, the system pushed menstrual health reminders to several male students, which made a big joke. I generally recommend that you randomly select 20% of the samples to check after batch importing. It only takes less than 10 minutes and can save a lot of trouble later. Here’s another tip: the system will automatically do a full backup every Friday afternoon. Don’t import large amounts of data at this time, as it may get stuck and make you doubt your life.

As for the last step of archiving, it is basically done automatically by the system. After the students graduate, the data will be encrypted and transferred to the next school along with their student status. There is no need to re-do a complete set of physical examination records every time they enter a higher school. Oh, by the way, if a student transfers or drops out of school, don't delete the data manually. Follow the system's archiving process. Otherwise, it will violate the compliance requirements for data retention, and you will be punished if found.

To put it bluntly, this system has never been designed to increase the burden of filling out forms for everyone, and there are no absolute standards for the operation process. As long as the data can be guaranteed to be accurate, compliant, not touching privacy red lines, and can really be used for children's health management, you can do whatever you want. After all, tools are dead and people are alive.