Issue 1 (207), article 5

DOI:https://doi.org/10.15407/kvt207.01.059

Cybernetics and Computer Engineering, 2022, 1(207)

O.S. Kovalenko, DSc (Medicine), Professor,
 Head of the Medical Information Systems Department
ORCID 0000-0001-6635-0124
e-mail: askov49@gmail.com

L.M. Kozak, DSc (Biology), Senior Researcher,
Leading Researcher of the Medical Information Systems Department
ORCID: 0000-0002-7412-3041
e-mail: lmkozak52@gmail.com

M. Najafian Tumajani,
Junior Researcher of the Medical Information Systems Department,
ORCID:
e-mail: najafian@mail.ru

O.O. Romanyuk,
Junior Researcher of the Medical Information Systems Department
ORCID:0000-0002-6865-1403
e-mail: ksnksn7@gmail.com

International Research and Training Center for Information Technologies
and Systems of the National Academy of Sciences of Ukraine
and Ministry of Education and Science of Ukraine,
40, Glushkov ave., Kyiv, 03187, Ukraine

EXPERIENCE AND PROSPECTS OF CREATING MEDICAL INFORMATION SYSTEMS AND INFORMTION TECHNOLOGIES TO SUPPORT MEDICAL CARE

Introduction. One of the four flagship initiatives identified by the WHO as health priorities for the coming years is the Flagship Initiative to enable citizens for receive quality health care through digital health care. The use of digital medical technologies to provide health care will serve for strengthening the health care system, empowering patients and achieving the principle of “health for all”.

The purpose of the paper is to summarize the experience and latest results of the scientists of the Medical Information Systems Department of the International Center for Research and Development of Medical Information Systems and Information Technologies of Digital Medicine against the background of the general process of digital transformation in medicine.

Results. The main characteristics and principles of building modern medical information systems (MIS) as components of the digital medicine ecosystem are determined. Internal and external information flows of MIS are analyzed. To further differentiate the representative attributes of these documents, three similar but different technologies associated with the patient card were identified: electronic medical records, electronic health records and electronic patient health passport, each of which is differentiated based on the level of patient orientation. Based on one of the principles of “5Ps medicine”, the principle of personalization, the structure of personal medical storage is determined, which according to modern challenges is needed by all participants in digital medicine infrastructure (patients, doctors, laboratories and functional diagnostics departments, etc.). To ensure the interconnection of such repositories, models of business processes of accumulation and exchange of digital medical data have been created and based on them mobile applications, modules for accumulation and exchange of digital medical data between different users in the process of diagnostic data analysis have been developed. The interaction of mobile applications with the local information environment of the health care institution is analyzed and its features are taken into account in the created specialized mobile software modules of accumulation and analysis of personal medical data.

Conclusion. The developed model of digital transformation in medicine, which includes digital methods of obtaining and analyzing biomedical signals, digital medical images, methods of forming electronic medical records and documents, allowed to create methods and tools for building the digital medicine ecosystem using global intellectual resources to provide the necessary level for analysis Big Data and decision support for doctors at all stages of medical care. The use of developed mobile applications of accumulation, analysis and exchange of personal medical data allows to review the accumulated data, assess and predict human health according to the developed Data Mining models and implement medical data exchange of different origins between patient and doctor.

Keywords: medical information systems, digital medicine ecosystems, medical information technologies, mobile applications, classification models Data Mining.

Download full text!

REFERENCES
1. Draft global strategy on digital health 2020-2025. July 2020 by WHO. https://www.who.int/ docs/ default-source/documents/gs4dhdaa2a9f352b0445bafbc79ca799dce4d.pdf (Last accessed: 29.12.2021)

2. The European Programme of Work, 2020-2025: United Action for Better Health. Copenhagen: WHO Regional Office for Europe; 2021 https://apps.who.int/iris/bitstream/handle/10665/ 339209/WHO-EURO-2021-1919-41670-56993-eng.pdf?sequence=1&isAllowed=y (Last acces-sed: 29.05.2021)

3. Medical information system. Kyiv: Nauk. Dumka, 1975. 508 p. (in Russian).

4. EN ISO 12052: 2011. Health informatics. Digital work, including workflow and data management URL: http://iso.org. (Last accessed: 15.10.2021)

5. Oosterwijk H. DICOM Basics (Third Edition). O Tech. 2005.

6. Kozak L.M., Kovalenko A.S., Kryvova O.A., Romanyuk O.A. Digital Transformation in Medicine: From Formalized Medical Documents to Information Technologies of Digital Medicine. Kibernetika i vycislitel’naa tehnika. 2018. 4(194). P. 61-78.
https://doi.org/10.15407/kvt194.04.061

7. The Digital Imperative. The imperative for a consumer-centric, digitally enabled health ecosystem. Delloite. 10 p.: https://www.kff.org/health-costs/poll-finding/data-note-americans-challenges-with-health-care-costs/

8. Haider J. Warraich, Robert M. Califf, Harlan M. Krumholz The digital transformation of medicine can revitalize the patient-clinician relationship. www.nature.com/npjdigitalmed

9. What are the differences between electronic medical records, electronic health records, and personal health records? https://www.healthit.gov/faq/ what-are-differences-between-electronic-medical-records-electronic-health-records-and-personal;

10. Hoerbst A., Ammenwerth E. Electronic Health Records. A Systematic Review on Quality Requirements. Methods Inf Med, 2010; 49(04): 320-336.
https://doi.org/10.3414/ME10-01-0038

11. Nguyen L., Bellucci E., Thuy Nguyen L. Electronic health records implementation: An evaluation of information system impact and contingency factors. International Journal of Medical Informatics. Vol. 83, Iss. 11, November 2014, pp.779-796
https://doi.org/10.1016/j.ijmedinf.2014.06.011

12. Ch!é!n O.Y., Roberts B. R. Personalized Health Care and Public Health in the Digital Age. Front. Digit. Health, 30 March 2021. V. 3. Article 595704.
https://doi.org/10.3389/fdgth.2021.595704

13. Kovalenko A.S., Kozak L.M., Ostashko V.G. Telemedicine – development of a unified medical information space. Upravla!û!!ŝ!ie sistemy i ma!š!iny. 2005. No3. C. 86-92. (In Russian)

14. Kovalenko A.S., Kozak L.M., Romanyuk O.A. Information technology of digital medicine. Kibernetika i vycislitel’naa tehnika. 2017. No1(187). C.67-79. (In Russian)
https://doi.org/10.15407/kvt187.01.067

15. Romaniuk, O. O., Kozak, L. M., and Kovalenko, O. S. Formation of Interoperable Digital Medicine Information Environment: Personal Medical Data. Sci. innov. 2021. V. 17, no. 5. P. 50-62.

16. Kryvova O.A., Kozak L.M. Information Technology for Classification of Donosological and Pathological States Using the Ensemble of Data Mining Methods. Cybernetics and Computer Engineering. 2021, 1(203), pp 77-96.
https://doi.org/10.15407/kvt203.01.077

17. Officials Should Target 20 Key Areas to Transform Health Care System https://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=10593

18. Nanotechnology is a key priority for the foreseeable future in medicine http:// www.nanolab.com.ua/publicacii/article4.html

19. Australian Medical Research and Innovation Priorities 2018-2020 Determination 2018. https://www.legislation.gov.au/Details/F2018L01550

20. Reddy, M. Digital Transformation in Healthcare in 2021: 7 Key Trends. https://www.digitalauthority.me/resources/stateofdigitaltransformationhealthcare/ (Last accessed: 14.01.2021).

Received 14.01.2022