DOI:https://doi.org/10.15407/kvt208.03.045
Cybernetics and Computer Engineering, 2022, 3(209)
KOVALENKO O.S.1, DSc (Medicine), Professor,
Head of the Medical Information Technologies Department
https://orcid.org/0000-0001-6635-0124
e-mail: askov49@gmail.com
AVERYANOVA O.A.2,
Senior Lecturer, Faculty of Biomedical Engineering,
https://orcid.org/0000-0002-4536-2174
e-mail: olgaaveryanova@ukr.net
MARESOVA T.A.1,
Junior Researcher of the Medical Information Technologies Department
https://orcid.org/0000-0002-4210-7426
e-mail: tamaresova@gmail.com
NENASHEVA L.V.1,
Junior Researcher of the Medical Information Technologies Department
https://orcid.org/0000-0003-1760-2801
e-mail: larnen@ukr.net
KUPMAN L.O.2,
Student, Faculty of Biomedical Engineering,
e-mail: linakumpanbsn@gmail.com
DVORNITSKA D.O.2,
Student, Faculty of Biomedical Engineering,
e-mail: dvornitska.olena@lll.kpi.ua
1International Scientific and Educational Center
of Information Technologies and Systems
NAS of Ukraine and MES of Ukraine,
40, Akad. Hlushkova av., Kyiv, 03187, Ukraine
2National Technical University of Ukraine
«Ihor Sikorsky Kyiv Polytechnic Institute»
37, Peremohy av., Kyiv, 03056, Ukraine
THE USE OF TELEMEDICINE TECHNOLOGIES TO CREATE A MEDICAL INFORMATION SYSTEM FOR MEDICAL AND SOCIAL CARE
Introduction. The use of digital medicine methods is becoming significantly urgent due to the COVID-19 pandemic, the current martial law in Ukraine, and the lack of medical equipment in some rural areas.
The same applies to providing medical care to the chronically ill. Such assistance includes social measures, which include care for the sick and disabled, provision of food etc. in addition to therapeutic and diagnostic measures. These measures are referred to as “medical and social care”.
The purpose of the paper is to apply the methods of digital medicine, which include telemedicine technologies in the construction of a medical information system model (MIS) to help chronic patients with telemedicine modules for the implementation of appropriate medical services in the hospital home settings.
Results. The types and methods of telemedicine technologies were analyzed, the diagram of business processes of the “Telemedicine” module was designed. The modules of the system were described with the specification of their realization, and the technical realization of the MIS for chronic care was carried out. The technical requirements of the “Electronic prescription” module were described, and the diagrams for the tasks that are frequently used in practice were provided.
Conclusions. Based on the results of the analysis of capabilities and experience of using modern telemedicine systems, the architecture of medical information system for the medical and social care of patients was developed which covers the doctor and patient modules, united functionally by defined business processes with the performance of specific functions ( (online interaction between doctor and patient, issuing an electronic prescription etc.).
The use of the proposed MIS, which is made using a modern REST API platform for downloading files directly from clients, and an application implemented on the basis of the Waterfal method and the Python programming language, ensures the organization of the interaction of the medical staff with patients, in particular, the implementation of remote consultation and the provision of electronic prescriptions on based on entries in the patient’s electronic card.
Keywords: medical and social care, telemedicine technologies, medical information systems, electronic prescriptions
REFERENCES
1. Vitacca M., Scalvini S., Spanevello A., Balbi B. Telemedicine and home care: controversies and opportunities. Breathe. 2006. V. 3, no 2, pp.149-158.
https://doi.org/10.1183/18106838.0302.148
2. Wootton R, Bonnardot L. Telemedicine in low-resource settings. Front Public Health. 2015;3:3.
https://doi.org/10.3389/fpubh.2015.00003
3. Gutierrez M, Moreno R, Rebelo M. Information and communication technologies and global health challenges. Global Health Informatics. 2017, pp.50-93;
https://doi.org/10.1016/B978-0-12-804591-6.00004-5
4. Smith AC, et al. Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). J Telemed Telecare. 2020; 26(5):309-13.
https://doi.org/10.1177/1357633X20916567
5. Ohannessian R. Telemedicine: potential applications in epidemic situations. European Research in Telemedicine. 2015;4(3):95-8.
https://doi.org/10.1016/j.eurtel.2015.08.002
6. World Health Organization. Telemedicine: Opportunities and developments in member states: Report on the second Global survey on eHealth [Internet]. 2010. Geneva, Switzerland: World Health Organization. 93 p. (Global Observatory for eHealth Series). Available at: http://www.who.int/goe/publications/goe_telemedicine_2010
7. Goldberg E.M., Lin M.P., Burke L.G., Jimenez F.N., Davoodi N.M., Merchant R.C. Perspectives on Telehealth for older adults during the COVID-19 pandemic using the quadruple aim: interviews with 48 physicians. BMC Geriatrics. 2022. V. 22, 188.
https://doi.org/10.1186/s12877-022-02860-8
8. How Telemedicine is Affecting Home Health Care. Available at: https://www.theseniorlist.com/blog/how-telemedicine-is-affecting-home-health-care/
9. Ikram U., Gallani S., Figueroa J.F., Feeley Th.W. 4 Strategies to Make Telehealth Work for Elderly Patients. Available at: https://hbr.org/2020/11/4-strategies-to-make-telehealth-work-for-elderly-patients.
10. Weiquan Wang, Li Sun, Tao Liu, Tian Lai. The use of E-health during the COVID-19 pandemic: a case study in China’s Hubei province. Available at: https://doi.org/10.1080/14461242.2021.1941184
11. Cimperman M., Makovec Brencic M., Trkman P. Analyzing older users’ home telehealth services acceptance behavior. International Journal of Medical Informatics, March 2016, 90:22-31.
https://doi.org/10.1016/j.ijmedinf.2016.03.002
12. Danko D. V., Povidaichyk O. S. Medical and social work with different categories of clients. Scientific bulletin of the Uzhgorod National University. 2009. Iss. 33, pp.51-54
13. Thomas L. What is Telemedicine? Available at: https://www.news-medical.net/health/What-is-Telemedicine.aspx
14. Aliouche H. What is Remote Surgery/Telesurgery? Available at: https://www.news-medical.net/health/What-is-Remote-SurgeryTelesurgery.aspx
15. Telemedicine was implemented in cardiology at the Center for Emergency Medical Care Available at: https://bukoda.gov.ua/news/u-centri-ekstrenoyi-medichnoyi-dopomogi-vprovadili-telemedicinu-u-kardiologiyi (in Ukrainian)
16. Organization of medical and social assistance. Available at: https://stud.com.ua/ 27525/meditsina/organizatsiya_mediko_sotsialnoyi_dopomogi (in Ukrainian)
17. Yang Xiao, Hui Chen Mobile Telemedicine: A Computing and Networking Perspective.- Available at: https://www.routledge.com/Mobile-Telemedicine-A-Computing-and-Networking-Perspective/Xiao-Chen/p/book/9781420060461
18. 5 Most Important Ways Telehealth Helps Home Care Patients. Available at: https://www.chaptershealth.org/chapters-of-life-blog/patients/home-care-and-telehealth-the-five-most-important-benefits-to-patients/
19. Romanyuk O.A., Kovalenko A.S., Kozak L.M. Information support for interaction of instrumental research systems and long-term storage of digital medical images in health care institutions. Kibernetika i vycislitel’naa tehnika. 2016, no. 184. pp. 56-71. (in Russian)
https://doi.org/10.15407/kvt184.02.056
20. Resolution of the Cabinet of Ministers of Ukraine dated April 25, 2018 No. 411 “Some issues of the electronic health care system”. Available at: HYPERLINK “https://zakon.rada.gov.ua/laws/show/411-2018-%D0%BF#Text” https://zakon.rada.gov.ua/laws/show/411-2018-%D0%BF#Text (in Ukrainian)
21. Order of the Ministry of Health of Ukraine dated February 28, 2020 No. 587 “Some issues of maintaining the Register of medical records, referral records and prescriptions in the electronic health care system”. Available at: https://zakon.rada.gov.ua/laws/ show/z0237-20#Text (in Ukrainian)
22. Kovalenko A.S., Kozak L.M., Romanyuk O.A. Information technologies of digital medicine. Kibernetika i vycislitel’naa tehnika. 2017, no. 1(187). pp.67-79 (in Russian).
https://doi.org/10.15407/kvt187.01.067
23. Kovalenko O.S., Mishchenko R.F., Kozak L.M. Transformation of Clinical Decision Support Systems into FHIR Structures to Ensure Quality of Medical Care. Cybernetics and Computer Engineering, 2019. 4(198), pp. 78-94.
https://doi.org/10.15407/kvt198.04.078
24. Benson, T. & Grieve, G. Principles of Health Interoperability: SNOMED CT, HL7 and FHIR. London: Springer-Verlag, 2016.
https://doi.org/10.1007/978-3-319-30370-3
25. Oemig, F., Snelick, R. Healthcare Interoperability Standards Compliance Handbook: Conformance and Testing of Healthcare Data Exchange Standards. Switzerland: Springer International Publishing, 2016.
https://doi.org/10.1007/978-3-319-44839-8
26. Bender, D. & Sartipi, K. HL7 FHIR: an Agile and RESTful approach to healthcare information exchange. in Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems p. 326-331 (2013) Available at: https://doi.org/
10.1109/CBMS.2013.6627810. (last accessed 04.04. 2022).
https://doi.org/10.1109/CBMS.2013.6627810
27. Offit K. Personalized medicine: New genomics, old lessons. Hum Genet. 2011;130:3-14.
https://doi.org/10.1007/s00439-011-1028-3
28. Health information exchange. Available at: https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/health-information-exchange (last accessed 10.04.2022).
29. Health information exchange definition – Defined by experts. Available at: https://www.pdnseek.com/health-information-exchange-definition-defined-by-experts/ (last accessed September 04.05. 2022).
30. Detailed clinical model. Available at: www.detailedclinicalmodels.nl/dcm-en (last accessed 14.09. 2012)
31. Prime PACS. Available at: https://play.google.com/store/apps/details?id= com.rosenfield.PrimePACS&hl=uk&gl=US (last accessed 14.05. 2022).
Received 16.05.2022
HOW TO CITE:
Kovalenko O.S., Averyanova O.A., Maresova T.A., Nenasheva L.V., Kupman L.O., Dvornitska D.O. The use of telemedicine technologies to create a medical information system for medical and social care. Cybernetics and Computer Engineering, 2022, no 3(209), pp. 45-63.
https://doi.org/10.15407/kvt208.03.045