According to the updated requirements of the Ministry of Health of Russia, the main document regulating the treatment and diagnostic process are clinical recommendations. The guidelines for clinical recommendations, based on the results of randomized trials, determine the doctor’s actions when making a diagnosis, and choosing a rational treatment. However, the rudimentary format for the placement of information on paper significantly limits their operation. The capabilities of IT technologies allow integrating clinical recommendations into the structure of expert systems. On the example of the expert system “Treatment of chronic heart failure” the possibilities and prospects of informatization of the diagnostic process are presented.
References
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2. Prikaz Ministerstva zdravoohraneniya RF ot 28 fevralya 2019 g. № 103n «Ob utverzhdenii poryadka i srokov razrabotki klinicheskih rekomendacij , ih peresmotra , tipovoj formy klinicheskih rekomendacij i trebovanij k ih strukture , sostavu i nauchnoj obosnovannosti vklyuchaemoj v klinicheskie rekomendacii informacii ». (In Russ).
3. Balancev G.A., Nikishova E.I., Perhin D.V., Mar'yandyshev A.O. Ocenka effektivnosti medicinskoj sistemy s tochki zreniya pol'zovatelya. Vrach i informacionnye tekhnologii. 2012 ; 4 : 22-27. (In Russ).
4. Klinicheskie rekomendacii OSSN-RKO-RNMOT « Serdechnaya nedostatochnost ': hronicheskaya (HSN) i ostraya dekompensirovannaya (ODSN). Diagnostika , profilaktika , lechenie ». Kardiologiya. 2018; 58. (In Russ).
5. Y a kushin M.A., Goryainov A.D. Programma postroeniya i ekspluatacii lechebno-diagnosticheskih algoritmov i informacionnyh baz dannyh « Nejrodoktor ». Svidetel'stvo № 2004610806 Rossijskogo agentstva po patentam i tovarnym znakam ot 31.03.2004. (In Russ).
6. Russell M., Roe B., Beech R., Russell W. Service developments for managing people with long-term conditions using case management approaches, an example from the UK. Int J Integr Care. 2009 ; 9: e02.
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