Articles

The article discusses the representation of information on lysosomal storage diseases to support the process of diagnostic decisions in childhood. This hereditary pathology refers to rare (orphan) diseases that are difficult to recognize and without timely appropriate therapy has a negative effect on the quality and expectancy of life. The article analyzes information sources for 16 nosological units from this group. Using the methods of knowledge engineering, information about the ident...

The work is devoted to the development of methods for the automatic isolation and analysis of areas of interest for physician-researchers studying the effect of transplanted mesenchymal stem cells on foci of ischemic stroke in laboratory animals. Areas of interest are represented by ischemic areas on T2 MRI-scans and stem cell clusters on SWI MRI-scans. For segmentation of ischemic zones, the possibilities of identifying spectral and visual informative characteristics using the Fourier transform...

The paper discusses possible improvement of healthcare through extension of its organizational model and better utilization of medical information systems. A brief review of ‘classical’ healthcare informatization tools is given with their relation to the steps of healthcare workflow that they intend to optimize. All consumers of healthcare are divided in four target audiences based on their needs in care and health preservation. Concepts of ‘health continuum’ and ‘continuum of care’ are discusse...

The statements and algorithms for solving the problem of scheduling medical examinations and treatment of patients in a medical information system are considered. The problem of the optimal multi-day route for the provision of medical procedures to a patient is solved, taking into account the doctors’ work schedule. Cases of one- and multi-day service are considered. A description of the algorithms is given and their comparison is performed.

Approaches to ensuring the safety of patient treatment in a medical organization are considered on the example of surgical treatment. The proposed case is implemented on the basis of the JCI IPSG4 “Ensure Safe Surgery” standards and includes the implementation of preoperative verification and timeout by means of MIS. The interface is considered as a chain of interconnected checklists, which was named “Green wave of patient safety during surgical treatment”.

The Article is devoted to analyze the statutory acts on medical care in scope of clinical approbation, and information support it in HIS.

IT procurement is always a challenge for healthcare providers as it is not directly related with the scope of activities. Meanwhile, preparing a tender for IT services for Ministry of Defence depends on some specific peculiarities which are a subject of the current article – pricing, sole source purchasing, products from the Unified Register of Russian Software, etc. The article is intended to help healthcare provider specialists who conclude contracts on specified subjects to prepare and to mak...

The article summarizes many years of experience in implementing medical information systems (MIS) in medical organizations. The article analyzes the transformation of the medical community’s ideas about the process of implementing MIS and its effectiveness for the period from 1994 to 2020. The features of the introduction of MIS in large medical and preventive associations are considered. There is a need to reorganize the business processes of a medical organization, including clinical p...

The article is devoted to the automation of the process of planning and management of operational activities in a multidisciplinary hospital– the basic principles and features, parameters and factors affecting the formation of the operation plan are formulated, the model of the business process is described and criteria for its effectiveness are given, the methodological foundations for organizing the planning of operational activities are shown– shown the leading role of the relationship betwee...

Opportunities of healthcare informatization tools are closely related to and limited by requirements of the corresponding model of care. The paper covers specific features of biopsychosocial patient-centered (BPC) model and their implications for informatization. Some approaches to automation of BPC model are discussed: ecosystem architecture and patient-centered online platform that provides communication infrastructure for consumers and providers of health services. Operation principle...

In the context of rapid technological progress, the outlines of the prospects for the development of telemedicine technologies are becoming more and more clear. At the same time, changes in the organizational, legal and economic spheres often do not keep up with technological changes. This was especially evident in the conditions of the spread of the COVID 19 coronavirus. The article contains an analysis of the features of telemedicine technologies application in modern conditions, prospects and...

The government went to provide medical and other workers engaged in the treatment OF covid-19 coronavirus infection with a fairly large set of benefits, guarantees and compensation. Among the key and most financially intensive of them were incentive payments, which were replaced with special social payments from November 1, 2020. At the same time, payments will now be made by the social insurance Fund. The implementation of such a scheme has caused the urgent need to create a complex system of i...

Currently, Internet resources are widely used in medical education, becoming one of the key tools of e-learning. We have developed a web application for congenital malformations and anomalies for medical students as an additional tool for self-learning. The web application contains two components: multimedia descriptions of congenital malformations, including images, animations, videos and interactive graphical tests; and the knowledge control module. It is important to evaluate effectiveness of...

Backgroun d. In 2019, the Moscow Government decided to conduct a large-scale scientific research – the Experiment on the use of innovative computer vision technologies for medical image analysis and subsequent applicability in the healthcare system of Moscow (www.mosmed.ai). Objective – analyze engagement, attitudes and feedback from doctors-radiologists in frame of the Experiment. Materials and methods. The Experiment is a prospective research approved by the Independent Ethics Committe...

Recently, a new coronavirus infection, or COVID 19, caused by the pathogen SARS-CoV 2, has been continuing to spread around the world rapidly. According to the World Health Organization (WHO), which declared this outbreak a pandemic, COVID 19 is a serious public health problem of international concern. Due to the lack of proven effective treatment and vaccination against COVID 19, precautions are considered by WHO to be strategic goals and a primary response to the pandemic. It is recomm...

The regression models for prediction of contact holmium lithotripsy duration are given. Models are obtained on the basis of calculated and experimental data on duration of different stages of laser lithotripsy. They allow, based on the volume and radiological density of urinary stones and taking into account the anatomical characteristics of the patient, to calculate the expected time of complete fragmentation of the stones with a higher accuracy than on the factor of additional costs the known ...

So far, the concept of image row or tuples in the development of intelligent systems has been discussed in relation to the role of phenotypic (external) manifestations of diseases in diagnostics. This study introduces the idea of neuroimaging tuples as a tool to make a prognosis of the course of chronic cerebral ischemia. The phenomenon of leukoaraiosis is analyzed as a radiological feature of chronic brain ischemia and a predictor of stroke. Image tuples are formed from the results of c...

The course of the COVID 19 pandemic imposes a significant burden on healthcare systems, including on primary care, when it is necessary to correctly suspect and determine further management. The symptoms non-specificity and the manifestations versatility of the COVID 19 impose difficulties in identifying suspicions. To improve the definition of COVID 19 symptom checkers and medical decision support systems (MDSS) can potentially be useful. They can give recommendations for determining th...

The article describes a conceptual approach to automating the algorithm for pre-hospital assessment of risk factors for non-communicable diseases in order to detect diseases early and monitor them later. The presented information system will allow calculating risk factors for non-communicable diseases, providing dynamic monitoring, and creating a unified register of pre-medical examinations. The information system is developed on the basis of a previously developed algorithm for pre-medical asse...

Significant expansion of telemedicine technologies was made possible by the adoption of the necessary legal regulation and initiation of the national program “Healthcare”. National research centers were assigned a mission to provide advisory and methodological support to the regional hospitals. The manuscript describes the experience of the National Research Center for Hematology in application of telemedicine technologies in order to improve the quality of specialized medical care. Progressive ...