互联网医疗保健信息服务审核表

互联网医疗保健信息服务审核 格式1-1 互联网医疗保健信息服务审核同意书 ,审核文号, 杭州卓健信息科技有限公司 ,单位名称,: 根据卫生部《互联网医疗保健信息服务管理办法》～你单位申报的网站,频道,已通过审核～同意提供互联网医疗保健信息服务。 网站,频道,名称:掌握健康 服务类别:,普通、性知识、性科研, 服务性质:,经营性、非经营性, 网址:www.ucmed.cn 网站IP地址:202.91.244.118 网站服务器设置地址:www.ucmed.cn 开办网站单位名称:杭州翼康信息科技有限公司 单位地址: 通过审核日期: 年 月 日 有效期: 年 月 日至 年 月 日 ,审核机构名称, ,盖章, 年 月 日 rotary master common neurological disease pathogenesis, clinical manifestations, diagnosis (localized and qualitative diagnosis), differential diagnosis and therapeutic principle. 2. basic requirements (1) number of diseases and cases: the number of disease cases (?) 20 30 cerebral hemorrhage cerebral infarction after subarachnoid hemorrhage: report of 5 5 of encephalitis meningitis in 5 10 10 3 migraines Parkinson's disease epilepsy sclerosis multiplex more than 5 2 spinal disease Guillain-Barre (Guillain-Barre) syndrome in 10 single neuropathy or multiple weeks Surrounding nerve 5 (2) basic skills required: name cases (?) standard full neurological physical examinations and locate 60 waist size 10 reading 20 EMG-EEG reading 20 skull and spinal CT reading 80 head and spine MRI reading 80 Department of Neurology ... (2) clinical knowledge and high skills: basic standards on the basis of further a high standard of inflammatory and degenerative diseases of the nervous system in pathogenesis, clinical presentation, diagnosis, differential diagnosis and therapeutic principle. Familiar with common neurological diseases such as encephalitis, epilepsy, EEG; grasp the imaging of inflammation and degeneration of the nervous system, as well as the results of Transcranial Doppler examination of clinical significance. (3) foreign language, teaching, research and other requirements: can read professional foreign language documents and perform simple medical English 格式1-2 互联网医疗保健信息服务审核批准表 审核文号: 领导审签: 年 月 日 主管部门审核意见: 负责人 年 月 日 受理编号: 受理日期: 年 月 日 网站(频道)名称: 网址: 网站设置地址: 开办网站单位名称: 开办网站单位地址: 附件:1、互联网医疗保健信息服务申请书 2、互联网医疗保健信息服务申请表 3、互联网医疗保健信息服务审核意见表 rotary master common neurological disease pathogenesis, clinical manifestations, diagnosis (localized and qualitative diagnosis), differential diagnosis and therapeutic principle. 2. basic requirements (1) number of diseases and cases: the number of disease cases (?) 20 30 cerebral hemorrhage cerebral infarction after subarachnoid hemorrhage: report of 5 5 of encephalitis meningitis in 5 10 10 3 migraines Parkinson's disease epilepsy sclerosis multiplex more than 5 2 spinal disease Guillain-Barre (Guillain-Barre) syndrome in 10 single neuropathy or multiple weeks Surrounding nerve 5 (2) basic skills required: name cases (?) standard full neurological physical examinations and locate 60 waist size 10 reading 20 EMG-EEG reading 20 skull and spinal CT reading 80 head and spine MRI reading 80 Department of Neurology ... (2) clinical knowledge and high skills: basic standards on the basis of further a high standard of inflammatory and degenerative diseases of the nervous system in pathogenesis, clinical presentation, diagnosis, differential diagnosis and therapeutic principle. Familiar with common neurological diseases such as encephalitis, epilepsy, EEG; grasp the imaging of inflammation and degeneration of the nervous system, as well as the results of Transcranial Doppler examination of clinical significance. (3) foreign language, teaching, research and other requirements: can read professional foreign language documents and perform simple medical English 格式1-3 互联网医疗保健信息服务申请书 浙江省卫生厅 杭州市卫生局 (主管审核单位): 我单位拟开办 掌握健康 网站，提供互联网医疗保健信息服务。根据卫生部《互联网医疗保健信息服务管理办法》，现提出申请，请予审核同意。 申请材料附录: ? 公司基本概况、企业法人营业执照 ? 网站域名注册的相关证书证明文件 ? 网络栏目设置及内容 ? 网站上栏目内容及操作说明 ? 网络与信息安全保障措施，包括网站安全保障措施、信息 安全保密管理、用户信息安全管理制度 ? 保证医疗保健信息来源科学、准确的管理措施、情况说明 及相关证明 ? 相关人员证件 申请单位: (盖章) 申请日期: 年 月 日 rotary master common neurological disease pathogenesis, clinical manifestations, diagnosis (localized and qualitative diagnosis), differential diagnosis and therapeutic principle. 2. basic requirements (1) number of diseases and cases: the number of disease cases (?) 20 30 cerebral hemorrhage cerebral infarction after subarachnoid hemorrhage: report of 5 5 of encephalitis meningitis in 5 10 10 3 migraines Parkinson's disease epilepsy sclerosis multiplex more than 5 2 spinal disease Guillain-Barre (Guillain-Barre) syndrome in 10 single neuropathy or multiple weeks Surrounding nerve 5 (2) basic skills required: name cases (?) standard full neurological physical examinations and locate 60 waist size 10 reading 20 EMG-EEG reading 20 skull and spinal CT reading 80 head and spine MRI reading 80 Department of Neurology ... (2) clinical knowledge and high skills: basic standards on the basis of further a high standard of inflammatory and degenerative diseases of the nervous system in pathogenesis, clinical presentation, diagnosis, differential diagnosis and therapeutic principle. Familiar with common neurological diseases such as encephalitis, epilepsy, EEG; grasp the imaging of inflammation and degeneration of the nervous system, as well as the results of Transcranial Doppler examination of clinical significance. (3) foreign language, teaching, research and other requirements: can read professional foreign language documents and perform simple medical English 格式1-4 互联网医疗保健信息服务申请表 申办日期: 编号: 网站(频道)名称: 网站设置地点: 网址: 网站服务器设置地点:?境内: ?境外: 是否与其它网站链接: ?是 链接网站名称(不得与未通过审核的网站链接): ?否 开始提供服务日期: 年 月 日 网站主办单位名称: 单位性质:?医疗卫生机构 ?事业单位 ?社会团体 ?企业:?国企 ?私企 ?外企 ?其他 说明: 服务性质:?经营性(提供收费及经营栏目附件) ?非经营性 内容分类:?普通 ?性知识 ?性科研 网站法人姓名: 性别: 身份证号码: 通信地址: 联系人: 电话: 传真: 邮编: 电子邮箱: 注册资金(单位:万元) 注册地点: rotary master common neurological disease pathogenesis, clinical manifestations, diagnosis (localized and qualitative diagnosis), differential diagnosis and therapeutic principle. 2. basic requirements (1) number of diseases and cases: the number of disease cases (?) 20 30 cerebral hemorrhage cerebral infarction after subarachnoid hemorrhage: report of 5 5 of encephalitis meningitis in 5 10 10 3 migraines Parkinson's disease epilepsy sclerosis multiplex more than 5 2 spinal disease Guillain-Barre (Guillain-Barre) syndrome in 10 single neuropathy or multiple weeks Surrounding nerve 5 (2) basic skills required: name cases (?) standard full neurological physical examinations and locate 60 waist size 10 reading 20 EMG-EEG reading 20 skull and spinal CT reading 80 head and spine MRI reading 80 Department of Neurology ... (2) clinical knowledge and high skills: basic standards on the basis of further a high standard of inflammatory and degenerative diseases of the nervous system in pathogenesis, clinical presentation, diagnosis, differential diagnosis and therapeutic principle. Familiar with common neurological diseases such as encephalitis, epilepsy, EEG; grasp the imaging of inflammation and degeneration of the nervous system, as well as the results of Transcranial Doppler examination of clinical significance. (3) foreign language, teaching, research and other requirements: can read professional foreign language documents and perform simple medical English 格式1-5 互联网医疗保健信息服务审核意见表 审核网站(频道)名称: 申办编号: 审核项目: 1、基本申请信息齐全:?是 ?否 基本申请材料齐全:?是 ?否 2、网站栏目性质: ?普通 ?性知识 ?性科研 3、网站内容审核: 普通栏目审核(审核通过栏目清单): 性知识(性科研)栏目审核(审核通过栏目清单): ?是否具备2名以上专业技术人员: ?是(提供附件) ?否 ?是否具备1名以上副高卫生专业人员: ?是(提供附件) ?否 ?是否具备仅向从事相关临床和科研工作 的专业人员开放的相关网络技术措施: ?是(提供附件) ?否4、附件审核: ? 主办单位基本情况，包括机构法人证书或者企业法人营业执照 ?有 ?无 ? 从事互联网医疗保健信息服务专业人员名单(含:姓名、性别、年龄、职务、 职称、专业等) ?有 ?无 ? 医疗卫生专业人员学历证明、资格证书、执业证书复印件，网站负责人身份 证复印件及简历 ?有 ?无 ? 健全的网络与信息安全保障措施，包括网站安全保障措施、信息安全保密管 理制度、用户信息安全管理制度 ?有 ?无 ? 网站域名注册的相关证书证明文件 ?有 ?无 ? 网站对历史发布信息进行备份和查阅的相关管理制度及执行情况说明 ?有 ?无 ? 卫生行政部门、中医药管理部门在线浏览网站上所有栏目、内容的方法及操 作说明 ?有 ?无 ? 保证医疗保健信息来源科学、准确的管理措施、情况说明及相关证明 ?有 ?无 备注说明: 审核人: 年 月 日 rotary master common neurological disease pathogenesis, clinical manifestations, diagnosis (localized and qualitative diagnosis), differential diagnosis and therapeutic principle. 2. basic requirements (1) number of diseases and cases: the number of disease cases (?) 20 30 cerebral hemorrhage cerebral infarction after subarachnoid hemorrhage: report of 5 5 of encephalitis meningitis in 5 10 10 3 migraines Parkinson's disease epilepsy sclerosis multiplex more than 5 2 spinal disease Guillain-Barre (Guillain-Barre) syndrome in 10 single neuropathy or multiple weeks Surrounding nerve 5 (2) basic skills required: name cases (?) standard full neurological physical examinations and locate 60 waist size 10 reading 20 EMG-EEG reading 20 skull and spinal CT reading 80 head and spine MRI reading 80 Department of Neurology ... (2) clinical knowledge and high skills: basic standards on the basis of further a high standard of inflammatory and degenerative diseases of the nervous system in pathogenesis, clinical presentation, diagnosis, differential diagnosis and therapeutic principle. Familiar with common neurological diseases such as encephalitis, epilepsy, EEG; grasp the imaging of inflammation and degeneration of the nervous system, as well as the results of Transcranial Doppler examination of clinical significance. (3) foreign language, teaching, research and other requirements: can read professional foreign language documents and perform simple medical English