Articles from rubric: «Regional informatizatian projects»
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2020 № 3 The notification mechanism of notifying the district doctor in the medical information system upon receipt of a new medical document in the regional medical information system based
The main task is to develop a mechanism in Regional medical information system (RMIS), which allows to promptly
notify the district doctor about the receipt of a new electronic medical document in RMIS from outside medical organizations. As
s result, the development and implementation of district doctor’s notifying service significantly optimizes and simplifies the work
of medical personnel with electronic medical documents. -
2019 № 3 Continuous electronic monitoring movement of drugs from the manufacturer to the end user
The paper describes the approaches and methods, used in the experiment on the implementation of the Federal state
system for electronic monitoring the movement of drugs on the basis of a large region (Novosibirsk region), the regulatory framework,the analysis of the results of the experiment. The features of the process of implementation of the results are formulated and generalized, conclusions about the current efficiency of the experiment and measures to improve it are made. -
2019 № 1 Mobile app «The diary of self-control»
The article presents the development of a specialized mobile application “Diary of self-control”, designed for patients
of ”school of stroke“ Rybno-Slobodsky district of the Republic of Tatarstan. The application is designed to integrate with the information and analytical system “stroke School”, implemented on the basis of the neurological Department of the Central district hospital of Rybno-Slobodsky district. The application is designed to monitor the main health indicators that are critical in the prevention of stroke, as well as to plan the intake of drugs prescribed by a doctor, and planning periodic visits to specialized medical institutions for the prevention of primary and secondary strokes. -
2019 № 1 Integrated Patient Summary and Integrated Electronic Health Record in St. Petersburg
There was formulated a task to create a patient summary, which would be not only a form of presenting the most
important medical facts, but also, at the same time, a means of navigating the entire electronic medical chart of the patient. A solution to the problem based on the creation of a list of diseases of the patient. A first approximation of such a solution is proposed – the creation of a list of diagnoses; the limitations of this approach are described. The result of the implementation of the proposed solution in the regional information system of St. Petersburg in 2018 is described. -
2019 № 1 Maximus Intellectual Information and Analytical System for Medicine and Healthcare
This article discusses the relevance, purpose, functions and capabilities of intelligent information and analytical modules of diagnostic and treatment processes management systems, on the base of the use of Maximus system in the regional network of clinics of Nefrosovet group, as well as in relation to medicine and healthcare in Russia as a whole. It justifies the importance of automating the data collection, starting from the diagnosis and treatment process to the middle and upper levels of analysis and reporting. Article presents a line of business intelligence software services and decision support systems – process control center, visual analyzer of DTP parameters and reporting system, analytical patient registry, diagnostic machine, causal patient model, diagnostic and treatment programs, etc., using the nephrology service with hemodialysis, treatment of complications and associated diseases as an example.
The architecture of presented system is service oriented and multiplatform. Article also describes the structures of Maximus BI and DSS subsystems, as well as the architecture of one of the main services – diagnostic and treatment programs. Article shows modern information technologies for managing business processes used in the system, as well as selected user interfaces and solutions. -
2019 № 1 Benchmarking for assessing the quality of digitization of radiology departments: methodology development
Basing on the “Digital Imaging Adoption Model (DIAM)”, systematized international and own practical experience, there
was developed a tool for benchmarking the level of digitization of radiology departments. The tool includes: 1) a reference “Medviz” maturity model of medical imaging digitization; 2) a basic methodological document (unified five-level digitalization strategy); 3) a digitization degree assessment tool; 4) a structured set of applications. In process of benchmarking, radiology departments are classified in accordance with the author’s Medviz model. Following the established level, a special set of recommendations is formed as basis for further managerial decisions. The methodology was successfully tested by us in five medical centers of the Department of Healthcare of Moscow. The development is applicable for complex studies of IT support of medical centers. -
2018 № 4 Application of a software package for analyzing the effectiveness of a new work management of outpatient hospitals and identifying causes of patients’ dissatisfaction with primary health care
The article presents the main approaches to the application of a software package for assessing the effectiveness of a new work management of outpatient hospitals by identifying the reasons of patients’ dissatisfaction with primary health care following citizens’ appeals and independent assessment of the quality of service delivery of medical organizations at various levels. The results of the Internet websites evaluation sometimes contain the good results of work of outpatient hospitals, but the number of justified complaints about the dissatisfaction with health care in specific medical organizations remains high. The PC allows to analyze the main causes of patients’ dissatisfaction with medical aid and substantiate specific recommendations on the formation of a new model of the work of medical organizations with the aim of significantly increased population’s satisfaction with the quality of medical care provided in outpatient settings.
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2018 № 4 Radiology information system of the Krasnodar region: development of the reference clinical and diagnostic center for breast pathology
In order to increase the availability and quality of specialized oncological care for the population of the Krasnodar Territory, the clinical and diagnostic Center of breast pathology was created. Teleradiology is one of the most efficient way for remote consultations. The article contains a description of the methodology for organizing the work of the Reference Center using telemedicine technologies via Radiology in-formation system of the Krasnodar Territory (RIS). DICOM modalities in diagnostic departments, local PACS in medical facilities are the part of regional RIS and also include 2 mammography units located in interterritorial oncological dispensaries. Every month new mammography exams are delivered to local PACS, which determines the relevance of their remote consultation. To fully operate the Reference Center as key participant in the system of teleradiology consultations, it is necessary to create a complex diagnostic information system in the regional clinical oncology dispensary. This is one of the results of the paper. The use of a unified system increases the efficiency of the information technologies in a remote mammographic screening and also allows standardizing and formalizing activity of a radiologist according to recommendation such as BIRADS, facilitates and speeds up the routine work of the radiologist, improves the quality of radiology interpretation, provides to radiologist effective help, using computeraided diagnostic
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2018 № 4 Government software procurement and health information services in 2013–2017
The analysis of government procurement of information on health, as well as implementation services and technical support for the period 2013–2017. The analysis is based on data from monitoring sites state. procurement, which were conducted under the Federal Law No 44-FZ of 05.04.2013. The paper presents the main statistical indicators of competitive procedures, information about the winners of competitions and auctions
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2018 № 1 he formation of integral indicators of assessment of the level of informatization of the regional health
Describes the approach to forming integral indicators of the level of informatization of medical organizations, forming the basis of assessing the level of computerization of the regional segment of EGISZ.
Presents principles and mathematical methods of processing results for further interpretation and forming integral indi- cators obtained on the basis of questionnaires for evaluation of specific indicators of informatization of medical orga- nizations. Presents the results of practical application of the technique of an estimation of the level of informatization, KGBUZ «Medical information analytical center» of the Ministry of Health of the Khabarovsk Krai. -
2018 № 1 Experience in formation of a register of limb amputations in Kemerovo Region. Principles and mechanisms
Kemerovo Region limb amputations register formation aim is to improve life expectancy and quality of life among patients (disabled persons) with limb loss on the ground of advancements in rehabilitation and healthcare delivery for this population.
This paper determines the primary organisational and technical challenges that should be met when formatting the limb amputations register as well as the solutions to address them. It establishes the list of system credentials for limb amputations database creation; determines the sources of primary data; describes the building of the organisational system of primary data gathering and updating. Designed amputations register formation technology is considered as a basis for implementation of the registration of patients with socially significant pathology in the region. -
2018 № 1 Registries. Types of registries. Registries of Hemophilia (review)
Registers are the basic conditions of medical care at the present stage, allowing to obtain basic information about the condition of the patient, about dynamics of clinical course of the disease, consumption of medicines, thera- peutic and diagnostic effects, etc., which increases the efficiency of the treatment process, and improves its organization at the state level. The article presents information about the currently existing types of registers, including registers of patients with hemophilia in Russia and in the world, the relevance of their creation, and the major problems associated with their maintenance
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2018 № 1 Conceptual model of information and analytical system «school of insult»
In article the concept of the information and analytical system developed on the basis of a neurology unit of the Central regional hospital of the Fish and Suburban district of the Republic of Tatarstan and intended for ensuring activity of School of a Stroke is developed. Work is based on long-term experience of establishment in the sphere of prophylaxis of emergence of primary acute disorders of a cerebral circulation, in particular, of strokes and also prophylaxis of their secondary emergence and treatment of their consequences. The purpose of development and deployment of IAS «School of a Stroke» is ensuring information support of doctors at exercise of scheduled maintenance, the help in creation of the personified prophylaxis, ensuring continuous dynamics of scheduled maintenance and contribution to formation of commitment to treatment. In article the purposes, functions, tasks and possible implementers of system are described. The scheme of the movement of information streams in system is given.
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2018 № 1 Model of the aggregate matrix calculator for the analysis of empirical data in the intelligent medical systems
This article is about mathematical tools for diagnostic problems in medicine. Basis on analyzed characteristics fuzzy computing we proved the possibility of using fuzzy-logic models for the diagnosis of prostate cancer. In the article shows an example of the aggregate matrix calculator (MAC) for the diagnosis of early stages of prostate cancer
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2017 № 3 Application of a software package for the certification of trauma centers and quality control of treatment of patients affected by road traffic accidents in the Moscow Region
Within the framework of the Unified Medical Information and Analytical System of Moscow Region («EMIAS») there was developed a software package for the certification of trauma centers, which allows to perform statistical and economic analysis for the financial modeling of trauma centers to ensure high quality of treatment and to prevent economic losses of the society and reduce the lethality of the victims after a car accident
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2017 № 3 Online method medical-economic control of prescriptions for preferential drug provision
There is a high probability of making mistakes (intentional and unintentional) while filling the electronic form of the recipe for preferential drug provision, that may lead to violations in the prescription of drugs. Expert detection of prescription form filling errors after the drugs had been released to the patient in pharmacy can’t prevent the negative impact on patient’s health. The purpose of the study is to improve the effectiveness of organizing and performing the medical control of drugs prescribing, to simplify procedures for providing citizens with preferential medicines, applying the developed methods and algorithms for real-time verification of the selected recipes. The paper represents the method and the development of decision making support algorithm to be used while performing the medical expertise, also called medical -economic control. The opportunities of unified information system for prescribing and releasing of preferential recipes in the Krasnodar Region are observed in the paper in the frame of implementation of the “electronic prescription” technology and medical expertise of preferential drugs prescribing in real time. The prospects of medical expertise performing for detecting cases of polypharmacy in advance are established in cases of multiple drugs prescription (more than five). The importance of performing medical expertise was defined for all kinds of prescription, not only for preferential drugs, consequently the suggested method and developed algorithm should be applied to medical expertise of all kinds of electronic prescription in real-time
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2017 № 1 Infrastructure health informatization Tula region.
The experience of development the Regional Medical Information System is analyzed as an example RMIS Tulsa region. The aims of implementation works are substantiated on the development of components of the system, the tasks are formulated standing before the RMIS, three-unit architecture RMIS is offered like a structure that best matches the aims, principles of functioning and tasks the RMIS. Statistical data about intermediate results of implementation the RMIS are analyzed, that showing correctness made decisions on designing and realization the RMIS. The variant of staffing the RMIS is offered.
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2017 № 1 Development of functional tasks and structure of the regional information system for monitoring obstetric Tula region.
Annotation. This paper proposes a way to automate the monitoring of pregnant Tula region taking into account the peculiarities of the organization of obstetric care in the region. Designed for automated functional tasks pregnant monitoring system allows us to implement a three-tier curation pregnant women taking into account the performance of the existing legal and regulatory aspects of the provision of obstetric care. A model of the structure of the monitoring system of obstetrics, automates the process of supervision of pregnant women at all levels of monitoring, automated processes for evaluating and monitoring perinatal risks.