Treatment management systems presentation. Medical information systems. Medical instrument-computer systems

27.04.2020

Donskaya A

This presentation reflects student work for presentation at the scientific and practical conference Mathematics and Informatics in Medicine. The conference presented the work of medical schools and colleges. The work of our students consisted in the study of medical information systems. The purpose of this conference was to increase students' motivation for active creative activity on the application of acquired knowledge in practice, improving the efficiency of the educational process, developing social competencies, forming a sustainable professional interest. This presentation displays information about the medical systems used in healthcare facilities. A brief description of the medical information systems used in healthcare facilities is provided. The presentation says:

about the tasks solved by MIS
capabilities of the Axi-office information system
on the advantages of using MIS in medical activities
about the templates that Axi Office allows you to use
on the use of smart tags with a built-in directory of medicines and disease codes

At the end of the presentation, conclusions were drawn about the advantages of the Axi-office medical information system

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Slides captions:

The use of information systems in medicine The work was done by students of MK No. 5

The purpose of the work The study of medical information systems with a statistical card of a person who left the hospital (form No. 066 / y-02); in the issuance of prescriptions (form No. 148-1 / y-88); extract from the medical card; transfer and discharge epicrisis. filling out an outpatient ticket when visiting a doctor.

Medical Information Systems in health care facilities: Job Name of the organization Medical information system Sklifosovsky Research Institute, Institute of Surgery named after AV Vishnevsky, GKB1 MIS "Medialog" Polyclinic No. 4 of the Presidential Administration of the Russian Federation, Helmholtz Research Institute, Eye Microsurgery" named after Fedorov MIS "MedWork" Children's Filatovskaya Hospital, Moscow Regional Psychoneurological hospital MIS "Aksi-clinic, Aksi-office, Aksi-registration" State Healthcare Maternity Hospital No. 4, "Health Center" 1C-Rarus MONIKI, Hospital for War Veterans No. 3, Russian Children's Clinical Hospital MIS "Everest" GP No. 174, City Clinical Hospital No. 174, City Clinical Hospital No. 70, City Clinical Hospital No. 60, City Clinical Hospital No. 55, City Clinical Hospital No. 19 MIS "Phobosmed" Masterdent, Medexpress, Be healthy MIS "Infoclinika", "Infodent" City Clinical Hospital No. 12, Medical Unit No. 1 AMO ZIL, Research Institute of Gerontology of the Ministry of Health of the Russian Federation MIS " E-Cube »

Characteristics of medical information systems: Medical information system Advantages of the medical information system MIS "Medialog" C consists of modules, each module contains a certain functionality that allows a medical institution to automate certain types of its activities MIS "MedWork" The system has a built-in editor of everything that the user sees on screen. You can easily and quickly set up the user environment (remove a button or a whole functionality, change any field, add an inscription to the form,) MIS "Aksi-clinic, Aksi-office, Aksi-registration" Simple and logical interface software systems. Strong customer focus, focus on effective solution required customer tasks, modular layout 1C-Rarus Improves the quality and speed of patient care; plans the work of departments, reduces the likelihood of staff errors

Information system (IS) is a system built on the basis of computer technology, designed to store, search, process and transmit significant amounts of information, which has a certain practical scope. In particular, information systems are used in medicine. improves the quality of patient care provides convenient and quick access to large volumes of medical information reduces organizational and time costs when preparing reports reduces the number of errors in the preparation of medical documents greatly facilitates and simplifies the work of medical staff Medical information system:

AKSi Office Templates

The Aksi-office information system allows the use of smart tags with a built-in reference book of medicines and disease codes Active ingredients Name and disease codes

Action of smart tags To use smart tags, you must enter a word that will be recognized as an active substance or as the name of a disease and press the spacebar Microsoft Word will underline it with a purple dashed line and when you hover over the text, the “Smart Tag Actions” button will appear

print save MIS AKSi-office

slide 1

Lecture 3 Information systems Contents educational material Key words: 1. Information technologies of medical organizational and managerial informatics. 2. Information system of compulsory medical insurance. 3. Information systems of health authorities

slide 2

On the present stage As society develops, new demands are being made on health care: Cost containment (growth and aging of the population, chronic diseases appearing at an ever younger age, rising prices for medicines) Quality improvement (reduction of medical errors, standardization of processes) Patients demand more information and quality of care Increasing the complexity of medical information

slide 3

The information system is a key link in healthcare informatization.

slide 4

Structural components of information systems: Regulatory framework. Applied information support. Computer infrastructure.

slide 5

The computer infrastructure includes: Computer facilities. Network and telecommunications infrastructure. General software and information support and organizational component that determines the procedure for servicing and supporting these tools.

slide 6

The regulatory framework includes a list of regulations and internal standards established by law, which establishes a certain procedure for processing various categories of information.

Slide 7

The composition of applied information support includes a complex of software and hardware applications that provide the solution of specific tasks in accordance with the applied functionality of a medical institution.

Slide 8

Information technologies of medical organizational and managerial informatics: Administrative and managerial information systems and systems of medical and statistical accounting of healthcare institutions Information systems of compulsory medical insurance Information systems of health authorities

Slide 9

According to the requirements of the Ministry of Health and social development of the Russian Federation and the Federal Compulsory Medical Insurance Fund, all health facilities have automated the processing of data on accounting forms: “Single coupon for an outpatient” (form No. 025-10 / y) “Card of a person who left the hospital” (form No. 066 / y) Uniform requirements for the primary document are formulated Administratively - managerial information systems and systems of medical and statistical accounting of healthcare institutions Administrative and managerial information systems and systems of medical and statistical accounting of healthcare institutions

slide 10

Accounting standard forms for automated processing of information have been developed and are being used for the following specialized healthcare institutions: Oncological dispensary Anti-tuberculosis dispensary Clinical narcological hospital Clinical psychiatric hospital Maternity hospital Administrative and management information systems and systems of medical and statistical accounting of healthcare institutions

slide 11

Computer programs, which process this static information, form: A database of patients who applied for medical care All reporting forms approved by the Ministry of Health and Social Development of the Russian Federation Registers of accounts for patients insured in the compulsory medical insurance system Registers of accounts are submitted to medical insurance companies in in electronic format Administrative and management information systems and systems of medical and statistical accounting of healthcare institutions

slide 12

The information system of compulsory medical insurance economic basis Establishment of health insurance organizations and compulsory medical insurance funds

slide 13

Mandatory health insurance information system Information technologies that contribute to the successful functioning of health facilities: Prompt receipt of information on all types of account balances Comprehensive analysis of the health facilities budget Support for relationships with banks Maintaining a register of property and funds Scheduling the use of available resources (personnel, premises, equipment)

Slide 2: MPCS are intended for information support and automation of the diagnostic and treatment process, carried out in direct contact with the patient's body

Slide 3: MPCS consists of a medical device, a computing device and software that provides the calculation of the following functions:

1) management of the operation of a medical device; 2) registration and storage of the received data; 3) presentation of the results of the analysis in the form of a conclusion or in the form of control actions on the body.

slide 4

Computer systems of functional diagnostics are designed to analyze such electrophysiological indicators as electroencephalogram (EEG), electrocardiogram (ECG), electromyogram (EMG), rheogram (RG), evoked potentials (EP) of the brain, etc.

slide 5

Patient electronic unit Interface unit for communication with a computer via USB port Electrodes, sensors, cables and other accessories CD with software and methodological software for OS Windows"98, 2000 Computer (type Pentium III, Athlon, Celeron) or similar NoteBook, printer

Slide 6: Study of visual EP for a flash of light

Photostimulation is carried out using original "glasses" based on pulsed LEDs.

Slide 7

Topographic mapping of the main indicators of cerebral blood flow (carotid, vertebral and middle cerebral artery pools is monitored) both in the process of removal and processing. Several indicators can be simultaneously selected from the list, characterizing pulse blood filling, elastic-tonic properties of arteries and vein tone. Three-dimensional models of the head reflect the spatial distribution of the analyzed characteristics. This representation facilitates the doctor's perception of the peculiarities of regional blood flow and the presence of interhemispheric asymmetry.

Slide 8: Heart rate assessment program

Mathematical analysis of the heart rate with the presentation of cardiointervalogram, histogram, spectrogram, scattergram, tables of calculated statistical and spectral indicators. Possibility to compare scattergrams in two fragments of a record by superimposing them (in different colors) on each other. Setting the visualization parameters of the scattergram (by points and/or lines, a sign of smoothing by a sliding window of a custom size, color, size, range boundaries).

Slide 9

Software allows you to analyze the data obtained at various time intervals, in the necessary combinations using various methods of computer processing and visualization. Synchronous registration of EEG, REG, SMA and other signals with the possibility of a compressed presentation of trends in physiological parameters on a single time scale allows expanding diagnostic capabilities in the study of various diseases and disorders.

Slide 10

Monitoring of patients is designed to monitor the state of physiological parameters of patients, express analysis and alert medical staff about critical and precritical conditions of patients according to the values of controlled parameters, accumulation and storage of information in order to identify unfavorable dynamics of vital important indicators the condition of the patients.

Slide 11: Patient Monitor

Slide 13: Biochemical analyzer

Purpose: determination of chemicals in liquid media of the body, namely in serum and blood plasma, urine, cerebrospinal fluid and other liquid media with similar rheological properties. Scope: laboratories of medical and preventive, specialized and scientific research institutions of medical and biological profile.

Slide 14

Vertical standing position. This orientation, along with core support and the T-Walker gait trainer (included), allows you to perform flexion/extension exercises with variable load depending on the angle of inclination.

Slide 15: Biofeedback in restorative and sports medicine

Slide 16: Control systems for vital body functions and bioprosthetics are designed to maintain or restore the natural functions of organs and physiological systems of a sick person within the normal range

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Krasnoturinsky branch

GBPOU "SOMK"

EN.02 Information technology in professional activities

Information technology in medicine

Boyarinova O.V., teacher

1. Medical informatics

3. Ways of development of medical information systems

1. Medical informatics

Information processes are present in all areas of medicine and healthcare. The clarity of the functioning of the industry as a whole and the effectiveness of its management depend on their orderliness. Information processes in medicine are considered by medical informatics.

Medical Informatics – This is a science that studies the processes of receiving, transmitting, processing, storing, distributing, presenting information using information technology in medicine and healthcare.

Subject study of medical informatics are information processes associated with biomedical, clinical and preventive problems.

An object studies of medical informatics are information technologies implemented in healthcare.

Basic purpose medical informatics is the optimization of information processes in medicine and health care through the use of computer technology, which improves the quality of public health.

Medical information is any information related to medicine, and in a personalized sense, information related to the state of health of a particular person.

Types of medical information

(G.I. Nazarenko)

Alphanumeric - most of the meaningful medical information (all printed and handwritten documents);
Visual (statistical and dynamic) - statistical - images (radiographs, etc.), dynamic - dynamic images (pupil reaction to light, patient's facial expressions, etc.);
Sound - the patient's speech, flowmetric signals, sounds during Doppler studies, etc.);
Combined - any combination of the described groups.

The main problems solved by computerized systems in health care

Monitoring health conditions different groups population, including patients of risk groups and persons with socially significant diseases;
Advisory support in clinical medicine (diagnosis, prognosis, treatment) based on computational procedures or modeling of decision-making logic;
Transition to electronic stories disease and outpatient medical records, including payments for the treatment of insured patients;
Automation functional and laboratory diagnostics;
Transition to integrated automation medical institutions(inclusion of workstations of doctors in information systems);
Getting information from ACS institutions for federal registers for certain socially significant types of pathology, for regional and city registers - for various contingents;
Creation of a unified information medical space of clinical data for the rapid adoption of adequate treatment and diagnostic decisions;
"Transparency" for the attending physician patient data for any period of time, their availability at any time when accessing the database of the global medical network;
Possibility of remote dialogue with colleagues.

The history of computerization of domestic health care

Informatics was introduced into medicine from several relatively independent areas, the main of which were:

laboratories and groups involved in medical cybernetics;
manufacturers of medical equipment;
medical information and computing centers;
third party automation organizations management activities;
heads of medical institutions who independently introduced new technology.

The process of introducing computer technology into healthcare institutions in our country has almost half a century of history.

In 1959, the first laboratory of medical cybernetics and informatics was organized at the Vishnevsky Institute of Surgery, and in 1961, a computer appeared in this laboratory, the first in medical institutions of the Soviet Union. Laboratories of medical cybernetics were also organized in a number of institutes of the Academy of Sciences.
In the 60-70 years, many leading research institutes already had such laboratories. Computers have become more compact and cheaper, their total number in the country has exceeded a thousand. Access to them for employees of medical institutions has been simplified, and the number of medical tasks solved with their help has increased. In addition to statistical data processing, work on advisory diagnostics and prognosis of the course of diseases is being actively developed.
In the 1970s and 1980s, computers became available not only for research institutes, but also for many large clinics. In addition to previous work, the first automated systems preventive examinations of the population; attempts began to combine medical equipment with computers
In the second half of the eighties, personal computers appeared, and the process of computerization of medicine took on an avalanche-like character. Appeared a large number of various systems for functional research. heads of medical institutions who independently introduced new technology.

Since the beginning of the 90s, there has been an actual standardization of computer technology in healthcare. The main type of computer has become a personal computer compatible with the IBM PC, and operating system Windows.

With the advent of health insurance, relevant information systems began to be actively introduced. Statistical information systems began to be used to create medical reporting.

Today, computers have become an integral part of the equipment of all medical institutions. However, in most cases their potential is not fully exploited.

One of the reasons for this is the insufficient provision of hardware and software, especially communication devices, which does not allow for the transportation of data and the prompt provision of all specialists of the institution with them.

Another reason, probably more significant, seems to be the lack of medical workers knowledge and skills necessary to work with modern personal computers.

2. Classification of medical information systems

The information system is a key link in healthcare informatization.

The classification of medical information systems is based on a hierarchical principle and corresponds to the multilevel structure of healthcare.

Distinguish:

MIS basic level;
MIS of the level of medical institutions;
MIS of the territorial level;
MIS of the federal level, intended for information support state-level health care system.

Basic level medical information systems.

MIS basic level are information support systems for technological processes.

Purpose of IIA baseline : computer support for the work of a clinician, hygienist, laboratory assistant, etc.

According to the tasks to be solved, medical and technological IS are divided into groups:

consultative and diagnostic systems;
instrumental-computer systems;
automated workplaces of specialists.

Purpose and classification of medical information and reference systems.

Features of this class of systems:

they do not process information, but only provide it;
provide quick access to the required information.

Classification:

by its nature (primary, secondary, operational, review and analytical);
on an object basis (medical facilities, medicines, etc.);
by types of search (documentary, factographic).

Appointment and classification of medical consultative and diagnostic systems.

Diagnosis of pathological conditions in diseases of various profiles and for different categories of patients, including prognosis and development of recommendations on methods of treatment.

According to the method of solving diagnostic problems, there are:

by types of stored information (clinical, scientific, regulatory, etc.);
probabilistic (diagnostics is carried out by the implementation of one of the methods of pattern recognition or statistical decision-making methods);
expert (the logic of making a diagnostic decision by an experienced doctor is implemented).

Purpose and classification of medical instrument-computer systems.

Information support and automation of the diagnostic and therapeutic process carried out in direct contact with the patient's body (for example, during surgical operations using laser systems or ultrasound therapy of periodontal diseases in dentistry).

Classification:

on functionality(specialized, multifunctional, complex);
by appointment:

systems for functional and morphological studies; monitor systems; management systems for the treatment process and rehabilitation; laboratory diagnostic systems; systems for scientific biomedical research.
systems for functional and morphological studies;
monitor systems;
management systems for the treatment process and rehabilitation;
laboratory diagnostic systems;
systems for scientific biomedical research.

Appointment and classification of workstations of specialists.

Automation of everything technological process a doctor of the relevant specialty and providing him with information support in making diagnostic and tactical (medical, organizational, etc.) decisions.

By appointment, AWPs can be divided into three groups:

AWPs of attending physicians (therapist, surgeon, obstetrician-gynecologist, traumatologist, ophthalmologist, etc.), they are subject to requirements corresponding to medical functions;
AWPs of medical workers of paramedical services (according to the profiles of diagnostic and treatment units);
AWS for administrative and economic divisions.

AWPs are used not only at the basic level of health care - clinical, but also to automate jobs at the level of management of health facilities, regions, territories.

Medical information systems at the level of medical institutions.

Systems of this class are designed to provide information support for the adoption of both specific medical decisions and the organization of work, control and management of the activities of the entire medical institution. These systems, as a rule, require the presence of a local computer network in a medical institution and are information providers for medical information systems of the territorial level.

The following main groups are distinguished:

IP of advisory centers;
information banks of medical institutions and services;
personalized registers;
screening systems;
information systems of a medical institution (IS HCI);
information systems of research institutes and medical universities.

Purpose and classification of information systems of consultation centers.

Ensuring the functioning of the relevant departments and information support for doctors in consulting, diagnosing and making decisions in emergency conditions.

Classification:

medical consultative and diagnostic systems of ambulance and emergency services;
systems for remote consultation and diagnostics of emergency conditions in pediatrics and other clinical disciplines.

Information banks of medical institutions and services.

P personalized registers (databases and databanks).

This is a type of ISS containing information about the attached or observed patient population based on a formalized medical history or outpatient card.

Screening systems.

Screening systems are designed for pre-medical preventive examination of the population, as well as for medical screening to form risk groups and identify patients who need specialist help.

IS HCI

IS HCI are information systems based on the combination of all information flows into a single system and provide automation various kinds activities of the institution.

IP for research institutes and universities

They solve three main tasks: informatization of the learning process, research work and management activities of research institutes and universities.

MIS of the territorial level is software complexes providing management of specialized and specialized medical services, polyclinic (including clinical examination), inpatient and emergency medical care to the population at the level of the territory (city, region, republic).

Medical information systems of the territorial level

MIS of the federal level are intended for information support of the state level of the healthcare system in Russia.

Federal level IS solve the following tasks:

1. monitoring the health of the population of Russia;

2. improve the efficiency of the use of health care resources;

3. maintaining state registers of patients for the main (priority) diseases;

4. planning, organization and analysis of the results of research and development;

5. planning and analysis of the training of medical and teaching staff;

6. Accounting and analysis of the material and technical base of healthcare.

3. Ways of development of information medical systems

Nowadays, information technologies have penetrated into all spheres of human life, and healthcare is no exception in this regard, as evidenced by the Order of the Ministry of Health and Social Development of Russia dated April 28, 2011 No. 364 "On approval of the Concept for creating a unified state information system in the field of healthcare" as amended Order of the Ministry of Health and Social Development of Russia No. 348 of 04/12/2012.

In 2011, Russia approved the Concept for the EGISZ (Unified State Health Information System), the main objectives of which are:

informatization of the provision of medical care population;
introduction of integrated electronic medical records of patients;
transition to online monitoring key indicators health and improve the management of the healthcare industry based on the introduction of ICT technologies.

Positive aspects of the formation of a unified information environment:

leads to greater transparency of the diagnostic and treatment process;
allows you to create and maintain a data bank associated with various MIS;
gives doctors the opportunity to access various expert systems for diagnosis and treatment, obtain complete information about the patient's health status based on the patient's electronic record, and also, in certain cases, reduce the consequences of possible subjectivity in the assessment of the disease and the necessary treatment;
Patients no longer have to worry about lost data or unreadable test results, prescriptions, treatment records, and appointments.

Implementation information technologies in medicine will allow:

organize remote monitoring of the patient, remote consultation by specialists;
ensure availability and time optimality for the population of receiving required documents for registration of a driver's license, employment, etc.

The introduction of blockchain technologies for the creation and development of a single database of EHR patients will allow:

ensure data security and integrity,
increase the level of information storage security;
make the process of making changes to the distributed database "transparent", excluding unauthorized access to patient data and manipulation of information in order to obtain positive medical conclusions;
reduce corruption risks among medical workers;
improve the security of personal data, the quality of medical data and the reliability of statistics.

When using blockchain technology, it becomes impossible to hide the source of information - any changes made to the patient record using the blockchain are identified and "attached" to the person who made the changes. Previously entered information cannot be deleted, and it is also identified with the person who entered this information earlier.

Check yourself!

What level of IIS does not exist?

base; continental; territorial; federal.
base;
continental;
territorial;
federal.
The main objective of the IIA of the basic level: support for the work of doctors various specialties; support for the work of polyclinics; support for the work of hospitals; support for dispensaries.
support for the work of doctors of various specialties;
support for the work of polyclinics;
support for the work of hospitals;
support for dispensaries.
Directory medicines refers to the following type of medical information systems: instrumental-computer; information and reference; educational; scientific; regional.
instrumental-computer;
information and reference;
educational;
scientific;
regional.

1 - b, 2 - a, 3 - b

Check yourself!

To search and issue medical information at the request of the user, the following are intended:

Monitor systems and instrument-computer complexes; Computational diagnostic systems; Clinical and laboratory research systems; Information and reference systems; Expert systems based on knowledge bases.
Monitor systems and instrument-computer complexes;
Computational diagnostic systems;
Clinical and laboratory research systems;
Information and reference systems;
Expert systems based on knowledge bases.
The device cardioanalyzer belongs to the following class of medical information systems (MIS): Instrument-computer systems; Information and reference systems; automated workplace doctor; MIS level of health care facilities; MIS at the federal level.
Instrument-computer systems;
Information and reference systems;
Automated workplace of a doctor;
MIS level of health care facilities;
MIS at the federal level.

4-d, 5-a

Task for extracurricular work:

Design multimedia presentation on the topic "Automated workplace of medical personnel";
Describe what mechanisms for protecting personal medical data about a patient are implemented in MIS.