Recently, the National Health Commission and the State Administration of Traditional Chinese Medicine jointly issued the “Regulations on the Supervision of Internet Diagnosis and Treatment (Trial)”. The “Detailed Rules” point out that for medical institutions to carry out Internet diagnosis and treatment activities, prescriptions should be issued by the receiving physicians themselves, and the use of artificial intelligence to automatically generate prescriptions is strictly prohibited. It is strictly prohibited to provide a drug to a patient before a prescription has been issued. Reconciliation for commercial purposes is strictly prohibited. The Internet hospital, which is the second name of a physical medical institution, is verified at the same time as the physical medical institution; the Internet hospital that relies on the physical medical institution to obtain the “Medical Institution Practicing License” independently is verified once a year.
The “Detailed Rules” emphasizes that physicians need to conduct real-name authentication before admission , to ensure that medical services are provided by me. Other personnel, artificial intelligence software, etc. shall not fraudulently use or substitute doctors to provide diagnosis and treatment services. The competent health departments at all levels shall be responsible for supervising the personnel who conduct Internet diagnosis and treatment in the medical institution. If medical personnel carry out Internet diagnosis and treatment activities in other Internet hospitals other than the main practice institution, they shall conduct practice registration or recordation in accordance with the relevant requirements of multi-institution practice in the location of the Internet hospital. The “Detailed Rules” make it clear that patients should provide medical records with a clear diagnosis, such as outpatient medical records, inpatient medical records, discharge summary, diagnosis certificates, etc. Medical institutions should clarify the termination conditions for Internet diagnosis and treatment.
The “Detailed Rules” states that Internet medical records shall be managed in accordance with the relevant regulations of outpatient electronic medical records, and shall be kept for at least 15 years. The record keeping period of graphic dialogues, audio and video materials and other process records in diagnosis and treatment shall not be less than 3 years. The electronic medical record information generated by medical institutions in the process of conducting Internet diagnosis and treatment shall be in the same format and systematically shared with the electronic medical records of the relying entity medical institutions, and the relying entity medical institutions shall carry out integrated online and offline quality control. Medical institutions should establish systems for network security, data security, personal information protection, and privacy protection, and sign agreements with relevant partners to clarify the rights and responsibilities of all parties.
The “Detailed Rules” proposes to encourage qualified provinces to set rules for determining the rationality of Internet diagnosis and treatment in the provincial supervision platform, and use emerging technologies such as artificial intelligence and big data to carry out analysis and regulation. Provincial health and health authorities shall collect relevant data of medical institutions in accordance with the “least availability principle”, focusing on information such as medical institution qualifications, medical personnel qualifications, and diagnosis and treatment subjects, analyze the overall situation of Internet diagnosis and treatment, and specify the rectification period.
Source | Health News