scholarly journals ANALYSIS OF THE DEVELOPMENT OF A MEDICAL INFORMATION SYSTEM

Author(s):  
А.А. Чувилькин ◽  
А.В. Бояровская ◽  
Н.А. Борсук

Охрана здоровья граждан – одна из ключевых тем развития государства. О необходимости выстроить систему здравоохранения на новой технологической базе заявил в Послании Федеральному Собранию 21.04.2021 Президент РФ Владимир Путин. Здравоохранение представляет собой достаточно сложную и динамическую систему, которая требует постоянной оценки ситуации и быстрого принятия решений. Непрерывная оценка эпидемиологической ситуации и мониторинг здоровья конкретного гражданина невозможен без качественно организованного обмена информацией и единой системы данных, внедренных в повседневную работу медицинских учреждений. На данный момент существует большое количество медицинских информационных систем (МИС), однако, многие из них содержат избыточный функционал и специфичный формат хранения данных. Адаптировать существующие МИС под нужды конкретных регионов довольно проблематично как в трудо- и времязатратах, так и финансовом плане. Была поставлена задача разработать медицинскую информационную систему Астрал.Мед, направленную на решение актуальных задач в сфере оказания первичной медико-санитарной помощи. Одной из задач разработки является возможность передачи и приема различной медицинской информации в уже существующие МИС с целью, в конечном итоге, отправки этих данных в Единую государственную информационную систему в сфере здравоохранения. В данном случае должно реализовываться единое хранилище всех данных пациентов внезависимости от медицинского учреждения, в котором они обслуживаются, и от информационной системы в данном учреждении. Реализация системы Астрал.Мед состоит из: разработки модуля интерфейсной части; разработки базы данных и способа взаимодействия с ней; модуля обработки запросов от специалистов медицинского учреждения и модуля интеграции со сторонними МИС (что является одной из самых основных и сложных задач из-за возможной несовместимости форматов хранения данных в различных информационных системах). Protection of the health of citizens is one of the key topics in the development of the state. The need to build a health care system on a new technological base was announced by the President of the Russian Federation Vladimir Putin in his Address to the Federal Assembly on April 21, 2021. Health care is a rather complex and dynamic system that requires constant assessment of the situation and quick decision-making. A continuous assessment of the epidemiological situation and monitoring of the health of a particular citizen is impossible without a well-organized exchange of information and a unified data system introduced into the daily work of medical institutions. At the moment, there are a large number of medical information systems (MIS), however, many of them contain redundant functionality and a specific data storage format. It is quite problematic to adapt existing IIAs to the needs of specific regions, both in terms of labor and time costs, and financially. The task was to develop a medical information system Astral.Med, aimed at solving urgent problems in the field of primary health care. One of the development tasks is the possibility of transferring and receiving various medical information to the already existing MIS with the aim, ultimately, of sending this data to the Unified State Information System in the field of health care. In this case, a single repository of all patient data should be implemented, regardless of the medical institution in which they are served and the information system in this institution. Implementation of the Ast-Ral.Med system consists of: development of the interface module; developing a database and a way to interact with it; a module for processing requests from specialists of a medical institution and a module for integration with third-party MIS (which is one of the most basic and complex tasks due to the possible incompatibility of data storage formats in various information systems).

Author(s):  
A. V. Semenets ◽  
N. I. Kuziv

Digital radiovisiography is widely used X-ray technology in the dentistry practice for the diagnostics currently. The brief overview of the market of the digital radiovisiographs and related radiology information systems is given. High hardware and software prices are often combined with insufficient and low-quality support services. The Dr.Suni 1800 intraoral radiovisiograph installation problems due to the outdated software are described. The abilities of the open-source free software usage in the radiology diagnoses tasks are shown. The existing methodology of the Dr.Suni 1800 intraoral radiovisiograph and the OpenDental medical information system integration is improved. An updated step-by-step integration procedure is presented. The Windows 7 (32-bit edition) compatibility is confirmed.


Author(s):  
Yu. S. Mazepa ◽  
N.V. Shestak

The aim is to analyze the advantages of introducing medical information systems in the healthcare institution in order to improve work on the prevention of NCDs through the example of the State Institution of Science “Scientific and Practical Center of Preventive and Clinical Medicine” of the State Administrative Department (hereinafter referred to as SIS “SPC PCM” of the SAD). Materials and methods. The method of structural and logical analysis and the bibliosemantic method of research have been used in the work. The bibliosemantic method was used to examine the state of studying the problems of NCDs, modern medical information systems both in Ukraine and in the world, and the ways to solve them through the analysis of WHO data, sources of literature, and electronic resources. The method of structural and logical analysis made it possible to distinguish, to logically structure and to create links between the introduction of the unified medical information system and the results from working with patients with NCDs, established a modern analysis and information system for monitoring the health status of the population, created information and reference system to ensure the educational process on specific issues and approaches, including the prevention of NCDs, regulated a synthesis of the results, that ensured a library and patent and licensing work in the scientific institution. Research results and their discussion. The use of the unified medical information system in the healthcare institution is an effective way to disseminate, control, and make available the information, and also to ensure long-term communication between the patient and the doctor on issues related to the prevention of NCDs.


2016 ◽  
Vol 1 (2) ◽  
pp. 1-23
Author(s):  
Ekaterina Kldiashvili

The eHealth is a rapidly evolving and changing field. The different models and protocols of medical information system (MIS) are now available. The MIS and its everyday usage is extremely beneficial for the healthcare sector, but its introduction in everyday practice is slow. Cloud computing is perspective field and it differs from the conventional distributed computing by its focus on large-scale sharing, innovative applications, and high-performance orientation. This paper defines “cloud computing” as flexible, secure, coordinated resource for data sharing among dynamic collections of individuals, institutions, and etc. It should be emphasized, that cloud computing can be reviewed as a useful tool for sharing of computing resources and services. The author expects that this technology has huge potential in health care and can improve health care services, as well as provide benefits for health care research. It is proposed that the solution is the widespread and routine implementation of the medical information system. The present article will discuss the application of cloud computing for the medical information system practical usage. The goal in the information age must be to create knowledge from medical information with less time managing medical information and data. The availability of adaptable technology and possibility of improvement of the infrastructure conditions is the basis for medical informatics applications. The routine application of MIS by healthcare organization holds the potential to improve, develop and realize medical service in the effective and comprehensive mode.


2014 ◽  
Vol 4 (3) ◽  
pp. 52-68 ◽  
Author(s):  
Ekaterina Kldiashvili

The field of healthcare informatics is rapidly evolving. The new models and protocols of medical information system (MIS) are developed. Despite obvious advantages and benefits, practical application of MIS in everyday practice is slow. Cloud computing have emerged as an important new field, distinguished from conventional distributed computing by its focus on large-scale sharing, innovative applications, and, in some cases, high-performance orientation. “Cloud computing” the authors are going to define as flexible, secure, coordinated resource sharing among dynamic collections of individuals, institutions, and resources. Cloud computing is a new way of delivering computing resources and services. It is plausible, that this technology has more potential and can improve health care services, benefit health care research, and change the face of health information technology. This can be solution for widespread and effective implementation of the medical information system. The present article will discuss the application of cloud computing for the medical information system practical usage. The ideal of healthcare in the information age must be to create knowledge from medical information and less time managing medical information and data. The application of easily available and adaptable technology and improvement of the infrastructure conditions is the basis for medical informatics applications. The usage of MIS holds the potential to improve, develop and realize medical service in the effective and comprehensive mode.


Author(s):  
Ekaterina Kldiashvili

The field of healthcare informatics is rapidly evolving. The new models and protocols of Medical Information System (MIS) are developed. Despite obvious advantages and benefits, practical application of MIS in everyday practice is slow. Cloud computing have emerged as an important new field, distinguished from conventional distributed computing by its focus on large-scale sharing, innovative applications, and, in some cases, high-performance orientation. “Cloud computing” is defined as flexible, secure, coordinated resource sharing among dynamic collections of individuals, institutions, and resources. Cloud computing is a new way of delivering computing resources and services. It is plausible that this technology has more potential and can improve health care services, benefit health care research, and change the face of health information technology. This can be a solution for widespread and effective implementation of the medical information system. The present chapter discusses the application of cloud computing for the medical information system practical usage. The ideal of healthcare in the information age must be to create knowledge from medical information and less time managing medical information and data. The application of easily available and adaptable technology and improvement of the infrastructure conditions is the basis for medical informatics applications. The usage of MIS holds the potential to improve, develop, and realize medical service in the effective and comprehensive mode.


2021 ◽  
Vol 27 (3) ◽  
pp. 175-181
Author(s):  
Hyejin Park ◽  
Sung-Hong Kang ◽  
Young Sung Lee ◽  
In-Sik Lee ◽  
Yul Hwangbo ◽  
...  

Objectives: Along with the exponentially-growing data produced and accumulated every day through mobile platforms, social networking services, the Internet, and other media, information is becoming increasingly important as a strategic resource. This report presents specific and clear directions and suggests empirical project plans regarding innovations in regional health information systems to promote the utilization of medical information.Methods: We reviewed and examined documents about global trends and examples of regional health information systems. The problems and solutions of health information utilization and regional health information systems in Korea were analyzed.Results: This study presented examples of the establishment of health information systems, problems in the use of local healthcare information, and an empirical project for improvement.Conclusions: The results of this study imply the need for long-term and systematic approaches for the use of medical information and the establishment of a local healthcare information system, along with implementation plans. As a first step, it is imperative to clarify the goal of building a medical information system, the information that must be provided to build the system, and the data that should be collected to provide such information, while moving away from the mentality of focusing on technology-oriented medical information services. In addition, it is necessary to consider information governance, data-based service development, and the medical innovation framework, which are ways to efficiently manage, utilize, and systemize the data to be collected.


2021 ◽  
Vol 85 (5) ◽  
pp. 1-13
Author(s):  
Vitalij V. Lapinskyi ◽  
Pavlo V. Mykytenko ◽  
Oleksander V. Halytskyi

The publication considers the relevance and purpose of medical information systems, as well as the tasks that should be solved by medical workers with their help. Functional capabilities and main modules of medical information systems were inspected. A list of the most powerful information systems is given, according to the recommendations of the Ministry of Health of Ukraine, for use in medical institutions. Since each medical information system has different modules with a unique interface, this requires certain skills to work with the system, understand the properties and principles of designing the user interface. The concept of the user interface is investigated, and its properties are specified. The main principles of the user interface design and quantitative methods of assessing its usability are described. Based on the result of the analysis, the strengths and weaknesses of methods for assessing the convenience of the user interface were identified. In particular, the complexity analysis method gives the possibility to investigate the actions and use of the system from the user's point of view, as well as the parameters that are responsible for the functionality of the system. It has been found that increasing the complexity of the interface leads to an increase in the number of operations that can be carried out in the medical information system. In turn, the use of the GOMS method makes it possible to evaluate the performance of the information system and step by step investigate its effectiveness, predicting the usability of the interface. On the one hand, a correct assessment of the interface complexity will make it possible to rationally adjust the process of the development of medical information systems on the basis of the user’s previous skills. On the other hand, knowledge of the principles of designing the user interface and its properties will make it possible to effectively and fully use their functional capabilities in professional activities.


Author(s):  
L. Yu. Babintseva

It is the deepening of the previously formulated a proposal on the functioning of the author in a single medical information space of two information systems - the integrated health information system and management information system trafficking drugs on the principle of complementarity and congruence. The problems of integration of various information systems for health care are discussed. There is proposed a quantitative evaluation of the effectiveness of the joint use of information systems in the framework of the solution of a problem.


2021 ◽  
Vol 74 (6) ◽  
pp. 1521-1523
Author(s):  
Tatiana V. Pluzhnikova ◽  
Oksana I. Krasnovа ◽  
Svetlana M. Tanianskaia ◽  
Valeriia E. Tanianskaia ◽  
Irina A. Kolenko ◽  
...  

The aim to provide valid, relevant, permanent, timely information to all health care institutions, as well as citizens of Ukraine in the framework of public health management processes for quality medical care. Sociological method - allows you to study the social structure and its impact on health. Systems analysis as a scientific method of cognition, which makes it possible to establish structural connections between system elements. Medical information system is a type of information system that differs in a set of methodological techniques, techniques and management algorithms designed to collect, store, process and transmit information in health care facilities. An single information system ensures the provision of reliable information in the right amount, in the right place, at the right time for members of the health care system. One of the important factors in the implementation of health care reform is the electronic health care system (E-Health). E-Health consists of two interconnected parts, one of which - the central database - will be controlled by the state. Institutions will have access to it through the second part, which is called privately developed medical information systems. The National Health Service of Ukraine ensures the functioning of the electronic health care system and awebsite containing information on the electronic health care system. Health care informatization today is an integral, perhaps the main, component of any health care reform in today’s world. Creating a single information space has many advantages.


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