LPR’s first one-year and five-year interest rates were lowered by 10 basis points during the year.

　　Multi-departments jointly issued a document: all localities should implement the "health code" national mutual recognition and one code communication.

　　On December 10th, 2020, National Health Commission, National Medical Insurance Bureau and state administration of traditional chinese medicine jointly issued the Notice on Further Promoting the "Internet+Medical Health" and "Five Ones" Service Action.It is clearly required that all localities implement the national mutual recognition of "health codes" and use one code to communicate..

　　The notice of action requires that all localities should rely on the national integrated government service platform to implement the mutual recognition mechanism and rules of "health code" information, make it clear that the "health code" information of cross-regional migrants is credible and available in all regions, effectively facilitate people’s travel and cross-provincial mobility, and realize unified policies, unified standards, national mutual recognition and one-code communication for epidemic prevention.

　　In low-risk areas, the action notice is clear, except for special places and special personnel, the "health code" should generally not be checked.

　　For the elderly and other groups who don’t use or operate smart phones, the notice of action requires that alternative measures such as reading ID cards, showing paper certificates, handling by relatives and friends, or binding multi-person epidemic prevention "health codes" by one person can be taken. Medical institutions at or above the second level should set up a "no health code" green channel at the entrance, equip personnel to help inquire about the epidemic prevention "health code", assist in filling in the epidemiological history survey by hand, shorten the waiting time, and provide more detailed and appropriate services for the elderly and other groups.

　　In addition, for the standardized use of epidemic prevention "health code" data, the action notice emphasizes the need to strengthen data security management and effectively protect personal privacy.

　　Original attached notice:

　　About further promotionNotice of "Internet+Medical Health" and "Five Ones" Service Action

　　National Health Planning No.22 [2020].

　　All provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps Health and Wellness Committee, Medical Insurance Bureau, Administration of Traditional Chinese Medicine, various departments of the commission (bureau) organs, directly affiliated units and contact units of the commission (bureau), and the commission (bureau) is a (hospital):

　　Since the issuance of the document "Opinions of the General Office of the State Council on Promoting the Development of" Internet+Medical Health "(Guo Ban Fa [2018] No.26), all localities have acted quickly and implemented innovation, which has achieved remarkable results in promoting the development of" Internet+Medical Health "and formed a good trend of departmental coordination and linkage. Especially during the epidemic prevention and control period, innovative online service modes in various places have played an important role in supporting accurate epidemic prevention and control, avoiding cross-infection, promoting the orderly flow of personnel and returning to work and production. In order to summarize the typical practices emerging in the promotion practice, further focus on the "urgent difficulties and worries" of people seeking medical treatment, and continue to promote the in-depth development of the "Internet+medical health" service for the convenience and benefit of the people, the National Health and Wellness Commission, the National Medical Insurance Bureau and the State Administration of Traditional Chinese Medicine decided to deepen the "five ones" service action in the whole industry. The relevant matters are hereby notified as follows:

　　First, promote "integrated" shared services and improve the level of convenient, intelligent and humanized services.

　　1. Adhere to the integration of online and offline. Medical institutions should make full use of information technologies such as the Internet and big data to expand service space and content while continuously improving offline medical services, actively provide patients with convenient and efficient online services, follow-up management and remote guidance, and gradually realize patients’ home rehabilitation. Internet hospitals should realize data sharing and business collaboration with physical medical institutions that rely on offline, and provide continuous services that seamlessly connect online and offline. Encourage all localities to use intelligent IOT terminal equipment to carry out monitoring, tracking and management of characteristic index data of patients with chronic diseases and high-risk groups, and sink health management to community service sites in combination with family doctors’ contract service. Promote Internet diagnosis and treatment services, give full play to the role of Internet hospitals in primary medical services, guide the downward shift of focus and sinking of resources, and promote graded diagnosis and treatment in an orderly manner. In view of the "digital divide" obstacles existing in the elderly, children, disabled people and other groups, all localities should adhere to the practice of walking on two legs and reasonably retain the traditional service methods, so as to realize the convenience of online services and pay attention to the humanization of offline services. On the basis of implementing non-emergency appointment diagnosis and treatment, medical institutions should simplify the online service process, improve various appointment registration methods such as telephone, internet and on-site, unblock the channels for family members, relatives and friends, family doctors, etc., and provide a certain proportion of on-site number sources, keep manual service windows such as registration, payment, printing inspection results, and provide medical guidance services with medical guides, volunteers, social workers and other personnel.Effectively solve the practical difficulties of the elderly and other groups in using intelligent technology.

　　2. Optimize the smart medical service process. All localities should adhere to the patient-centered principle, actively implement the requirements of the Notice of the National Health and Wellness Commission and the State Administration of Traditional Chinese Medicine on Deepening the Activities of "Internet+Medical Health" to Facilitate and Benefit the People (Guo Wei Planning and Development [2018] No.22), and continue to promote 30 measures for 10 services to facilitate and benefit the people. According to the Notice on Further Improving the Appointment Diagnosis and Treatment System and Strengthening the Construction of Smart Hospitals (Guo Wei Ban Yi Han [2020] No.405), hospitals above the second level should accelerate the integration of internal information systems and business collaboration, optimize the medical treatment process and improve service efficiency. Gradually realize online health consultation, follow-up, prescription review, medication guidance, psychological and health status assessment, vaccination appointment and electronic prescription circulation, drug distribution, follow-up, home ECG monitoring, community appointment referral and other contents. Medical associations and medical communities should strengthen the integration of medical and health services, support service communication with information communication, and guide patients to seek medical treatment in an orderly and convenient manner.

　　3. Promote regional information sharing and mutual recognition. All localities should adhere to the problem-oriented and demand-oriented, strengthen the promotion and application of the functional guidelines and data standards of the national health information platform and hospital information platform in the province as a whole, promote the standardized access of health information platforms of medical institutions at all levels and provincial traditional Chinese medicine museums to the province as a whole, and continuously improve the quality of data connectivity with national platforms. Under the premise of medical quality control and informed consent of patients, we will promote the access and sharing of medical health information such as electronic medical records, inspection results and medical imaging materials among medical institutions, and gradually realize mutual recognition of information covering provinces. All localities should speed up the linkage between electronic health records, electronic medical records and public health service information, promote online inquiry and standardized use of electronic health records on the basis of ensuring data security and personal privacy, clarify the open content and unify the open path, and gradually realize residents’ own or authorized convenient access to personal electronic health records, so as to better record and manage the health information of residents throughout their life cycle. The state will launch relevant pilot projects in a timely manner, actively promote the development of regional integrated information connectivity, mutual recognition and sharing services in areas with conditions such as Beijing-Tianjin-Hebei, Yangtze River Delta and Chengdu-Chongqing.

　　Two, promote the integration of "one code" service, and break the information barrier of multi-code coexistence and mutual incompatibility.

　　4. Strengthen the "one code for all" in the industry. All localities should, in accordance with the unified technical standards formulated and promulgated by the state, accelerate the application of residents’ electronic health codes, and focus on solving the problem of "one hospital, one card, and mutual incompatibility" in medical and health services. Encourage all localities to popularize the application of residents’ electronic health codes as a starting point, promote medical treatment in real-name registration system, explore the use of ID numbers as the main index and other ID numbers as a supplement, and strengthen the management of residents’ health identity identification and use. Promote residents’ electronic health codes to replace medical and health institutions’ medical cards, expand their use in the fields of diagnosis and treatment services, public health services, chronic disease management, online information inquiry, health education, blood management, etc., and gradually realize the universal use of one code in the health industry. For the elderly, children and other groups, it is necessary to reasonably retain offline manual services and effectively solve the obstacles of intelligent technology.

　　5. Promote cross-departmental "multi-code integration". All localities should adhere to the people-oriented principle, strengthen the transformation and docking of business information systems of relevant medical institutions, strengthen the coordination among departments, promote the "multi-code integration" application of residents’ electronic health codes, financial payment codes, citizen cards, etc., and strengthen information exchange and business communication on the basis that the "cards" and "codes" of different departments can be switched, so as to facilitate people’s use. Encourage all localities to explore the use of a unified "Internet+medical health" service portal, promote the effective integration and application of residents’ electronic health records and electronic medical records, and provide residents with life-cycle health management services. At the same time, through the retrospective management of "multi-code integration", the effective supervision of medical treatment records, expense lists, electronic prescriptions, electronic medical records and medical expense settlement records will be gradually realized in the "three-medical linkage".

　　6. Realize "one code for all lines" of health codes. All localities should rely on the national integrated government service platform, implement the mutual recognition mechanism and rules of health code information, make clear that the health code information of cross-regional migrant workers is credible and available in all regions, effectively facilitate the travel and cross-provincial mobility of personnel, and realize the unified policy, unified standard, national mutual recognition and one-code communication of epidemic prevention health codes. In low-risk areas, except for special places and special personnel, health codes should generally not be checked. For the elderly and other groups who don’t use or operate smart phones, alternative measures can be taken, such as reading identity cards, showing paper certificates, handling by relatives and friends, or binding multi-person epidemic prevention health codes by one person. Strengthen the standardized use of epidemic prevention health code data, strengthen data security management, and effectively protect personal privacy. Medical institutions at or above the second level should set up a green channel without health code at the entrance, equip personnel to help inquire about epidemic prevention health code, assist in completing epidemiological history investigation by hand, shorten the waiting time, and provide more detailed and appropriate services for the elderly and other groups.

　　Three, promote the "one-stop" settlement service, improve the "internet plus" medical online payment.

　　7. Implement "one-stop" timely settlement. Medical and health institutions should optimize the online and offline payment process, improve the settlement mode and solve the payment blocking problem through self-service machines, online services and mobile terminals. On the premise of ensuring information security, we will strengthen cooperation with medical insurance, commercial insurance, UnionPay and third-party payment institutions to provide patients with a variety of online payment methods. Accelerate the docking of relevant information systems and data sharing, expand online payment functions, promote "one-stop" timely settlement, and provide more convenient services for insured personnel.

　　8. Implement the "internet plus" payment policy. Implement the National Medical Insurance Bureau’s Guiding Opinions on Actively Promoting the Medical Insurance Payment of internet plus Medical Services (No.45 [2020] of Medical Insurance), adhere to the consistency between online and offline, implement a fair medical insurance policy for online and offline medical services, and maintain a balanced level of treatment. The consultation fees and drug fees incurred by the insured in the designated medical institutions for medical services in internet plus as a whole can be paid in accordance with the provisions on medical insurance in the whole area. All localities can gradually expand the scope of medical insurance payment for "internet plus" medical services for common diseases and chronic diseases from outpatient chronic diseases. Support the circulation of "internet plus" medical referral prescriptions, and explore the interconnection of prescription information purchased by designated medical institutions and designated retail pharmacies. Combined with the pilot project of direct settlement of outpatient expenses, we explored the direct settlement of "internet plus" medical services in different places. Implement the medical insurance reimbursement policy of "long-term prescription", and realize online medical insurance settlement for online prescription drug fees of "internet plus" medical services that meet the requirements.

　　Four, to promote the "one network" government services, to resolve the difficult, slow and complicated problems.

　　9. Expand government sharing services. To implement the State Council’s requirement of strengthening the orderly sharing of government information, the health industry has already shared data such as birth medical certificate, death certificate, population information, doctor’s practice registration information, nurse’s practice registration information, medical institution’s practice registration information, etc., and a new batch of data sharing lists, such as nucleic acid detection information, have been formulated and issued at the national level, so as to improve the coordination mechanism of data sharing and support the cross-departmental and cross-level handling of government services. All localities should complete the inter-provincial communication of government services such as "filing of free clinic activities" and "filing of disinfection products health and safety evaluation report". Accelerate the docking of the provincial overall regional national health information platform with the government information service platforms at all levels, and promote the government service matters to the best of their ability. Promote the convenience service mode such as "one thing for birth", and realize "one submission, multi-certificate joint office, one stop delivery" for birth medical certificate, vaccination, household registration, medical insurance participation, social security application and other matters.

　　10. Convenient information inquiry service. All localities should rely on the official website, WeChat official account, regional national health information platform or government service platform, etc., and integrate and publish online mobile service applications related to "Internet+medical health" in the province, so as to facilitate the public to obtain authoritative information such as diagnosis and treatment services and health management services in one channel. Implement the "Guiding Opinions on Accelerating the Construction and Application of Electronic Certificates in Health Industry" (No.17 [2020] of the National Health Office), implement the electronic certificate system in health industry nationwide, and realize the comprehensive support of electronic certificates in government service matters. Accelerate the construction of a network trusted identity authentication system, and gradually realize online verification of patients’ identities and public inquiries of medical institutions, doctors, nurses and other information. Strengthen the record of the whole process of vaccine delivery, circulation, storage and transportation, and use information, and provide vaccination inquiry services for the masses to ensure that the source and destination of vaccines can be traced.

　　11. Promote grassroots burden reduction services. Carry out the requirements of the central government to reduce the burden at the grassroots level, implement the health statistical investigation system, establish a data list according to the principle of "one source for one number, multiple uses for one source, unified standards, integration and sharing", strengthen source governance, and promote information system integration and data resource sharing. All localities should rely on the national and provincial overall regional national health information platforms to realize cross-level sharing of information such as population death registration data, legal infectious disease report data, public health emergency report data, nucleic acid detection data and antibody detection data between national and provincial platforms. Encourage all localities to apply electronic health records in various assessments and gradually cancel paper files. Encourage the development of a unified data collection information system for primary medical and health institutions based on the province. Grassroots reports should be automatically generated through the information system as far as possible, reducing manual reporting and paper reports, and gradually realizing "recording only once" for primary data collection.

　　Five, promote the "chess game" anti-epidemic service, strengthen the information technology support for the prevention and control of normalized epidemic situation.

　　12. Strengthen early monitoring and early warning. The state and provinces (autonomous regions and municipalities) will speed up the establishment of a comprehensive and integrated intelligent multi-point trigger monitoring and early warning platform for infectious diseases, covering public health institutions, medical institutions, third-party testing laboratories and Internet public opinion information in accordance with the principles of overall planning, horizontal integration, vertical integration and highlighting key points. Horizontal Unicom shares the monitoring data of relevant departments and multi-source data such as abnormal symptoms at ports, sales of specific drugs, cold chain food detection, etc., and vertically connects the data related to infectious diseases of countries, provinces (autonomous regions and municipalities) and medical and health institutions to improve real-time analysis and scientific judgment. Take respiratory infectious diseases as the breakthrough point, improve the monitoring mechanism of unexplained diseases and abnormal health events, and improve the sensitivity and accuracy of evaluation and monitoring. Strengthen the coordination of medical prevention information, strengthen the joint defense monitoring of people and things, and medical and health institutions should do a good job in docking the information related to infectious diseases and public health emergencies with the monitoring and early warning platform to realize the automatic collection of symptoms, diagnosis and inspection data.

　　13. Strengthen epidemic prevention and control support. All localities should improve and perfect the platform for epidemiological analysis of infectious diseases, strengthen the information linkage between health and other relevant departments, make overall use of big data and artificial intelligence technologies, empower manual epidemiological work, quickly complete the classified investigation of personnel, automatically generate relevant reports, and support the investigation of key people and the tracking of close personnel to reduce social risks. Relying on the unified platform for nucleic acid detection of the National Center for Disease Control and Prevention, strengthen information communication with all provinces, support the whole process service management such as appointment detection, data submission, result inquiry and mutual recognition, and ensure the normal cross-regional flow of personnel in low-risk areas. Adhere to national and provincial co-ordination, improve and perfect the comprehensive security information platform such as protection material deployment and medical service demand supply, and dynamically manage key resources such as epidemic prevention and treatment institutions, personnel, vaccines, equipment and materials in the province based on geospatial information to achieve visual display.

　　14. Deepen epidemic prevention consulting services. Encourage medical and health institutions and qualified third-party institutions to build an Internet consulting platform, and provide high-quality and convenient medical and health consulting services around health assessment, health guidance, medical guidance, psychological counseling and prevention and treatment of traditional Chinese medicine, so as to reduce the gathering of offline personnel and reduce the risk of cross-infection. Encourage all localities to build a unified, authoritative, public welfare and efficient popular science platform open to the public, carry out publicity and education on public health, prevention and control of infectious diseases, diagnosis and treatment, and improve residents’ health literacy and protection ability. All localities should play the role of telemedicine platform, use information technology to sink expert resources, and improve the epidemic prevention and control ability of primary medical and health institutions. Strengthen the construction and application of Internet consulting service platform for overseas Chinese, and better provide health consulting services for overseas Chinese.

　　Departments in charge of health, medical insurance and Chinese medicine at all levels should adhere to the people-centered development idea, strengthen organizational leadership, and refine service measures to ensure that all tasks are put in place. It is necessary to promote the in-depth application and innovation of the new generation of information technology in the medical and health industry, further optimize the allocation of resources, improve service efficiency, strengthen online supervision, and strengthen security. We must adhere to the principle of encouraging innovation, inclusiveness and prudence, support the "Internet+medical health" demonstration provinces (autonomous regions and municipalities) to try first in combination with the actual situation, explore new modes of innovative medical and health services, and enhance the people’s sense of access to medical treatment. At the national level, work guidance and inspection will be strengthened, and a number of typical experiences and practices of the "Five Ones" action will be selected and promoted in a timely manner to continuously promote the effectiveness of the "Internet+medical health" service for the convenience and benefit of the people.

　　Attachment: Experiences and practices of some provinces (autonomous regions and municipalities) in promoting "Internet+medical health" service for the convenience and benefit of the people.

　　National Health Commission

　　National Healthcare Security Administration (NHSA)

　　National Administration of Traditional Chinese Medicine

　　December 4, 2020