Control Systems and Computers

https://doi.org/10.15407/csc.2020.05.070

Control Systems and Computers, 2020, Issue 5 (289), pp. 70-78.

UDC 004.75+004.932.2:616

O.S. Kovalenko –  D. Sc. (Medicine), Professor, Head of Department of Medical Information Systems, International Research and Training Center for Technologies and Systems of the National Academy of Sciences of Ukraine and Ministry of Education and Science of Ukraine, Glushkov ave., 40, Kyiv, 03187, Ukraine, askov49@gmail.com,

L.M. Kozak – D.Sc. (Biology), Senior Researcher, Department of Medical Information Systems, International Research and Training Center for Technologies and Systems of the National Academy of Sciences of Ukraine and Ministry of Education and Science of Ukraine, Glushkov ave., 40, Kyiv, 03187, Ukraine, lmkozak52@gmail.com,

O.A. Romanyuk, Junior Researcher, Medical Information Systems Department, International Research and Training Center for Technologies and Systems of the National Academy of Sciences of Ukraine and Ministry of Education and Science of Ukraine, Glushkov ave., 40, Kyiv, 03187, Ukraine, 
ksnksn7@gmail.com

Najafian Tumajani M., Junior Researcher,  Department of Medical Information Systems, International Research and Training Center for Technologies and Systems of the National Academy of Sciences of Ukraine and Ministry of Education and Science of Ukraine, Glushkov ave., 40, Kyiv, 03187, Ukraine,

Maresova T.A. Junior Researcher of Medical Information Systems Dept., International Research and Training Center for Information Technologies and Systems of the National Academy of Sciences of Ukraine and the Ministry of Education and Science of Ukraine, Glushkov ave., 40, Kyiv, 03187, Ukraine, tamaresova@gmail.com

Formalized Representation of Information and Technological Processes of the Digital Medicineintegrating Environment

Introduction. To ensure the effective delivery of health services, it is important to provide accessible mechanisms for interaction between different levels of health care and patients. mHealth, eHealth and other technological developments, such as telemedicine, constitute a new digital health paradigm.

The purpose of the paper is to develop the formalized components of the digital medicine integrating environment to ensure effective interaction between patients, family physicians and health care workers at various levels.

Results. The general structure of information flows of the integrative environment of digital medicine is described and the formalized representation of health care business processes are developed.An analysis of the characteristics of the main actors actively involved in medical care was provided, and the access level to medical information of each participant, which is an obligatory condition, in particular in the case of mobile medicine, was determined. To ensure the storage of this information, an infologicalmodel of the database was developed, indicating the internal links between the blocks of the database. Model elements are defined for each block: classes, attributes and operations (using UML).

Conclusions. Formalized representation of eHealth business processes using mHealth  reflects the interaction of participants in these processes (patient and different groups of health professionals) and information flows that arise in this interaction. To ensure reliable mechanisms for the digital medical dataexchange, access levels were prescribed for each participant included in the eHealth system.

Download full text! (On Ukrainian).

Keywords: digital medicine, information flows, business processes of medical care, level of access to digital medical data, mHealth.

1. 1. Interoperability in the Digital Ecosystem. [online]. Available at: <https://dash.harvard.edu/handle/1/28552584> [Accessed 11 Oct. 2020].
   2. Kovalenko, A.S., Kozak, L.M., Romanyuk, O.A., 2017. “Information Technology of Digital Medicine”. Kibern. vyčisl. teh., Issue 1 (187), pp.67-80 (In Russian).
      https://doi.org/10.15407/kvt187.01.067
   3. Welcome to FHIR. [online]. Available at: <https://www.hl7.org/fhir/> [Accessed 11 Sept. 2020].
   4. Kozak, L.M., Kovalenko, A.S., Romanyuk, O.A., Antomonov, M.Yu. et al., 2019. “Formation of information medical environment in different levels”. Proceeding of SPIE, pp.127-134.
      https://doi.org/10.1117/12.2536412
   5. Top Challenges Impacting Patient Access to Healthcare. [online]. Available at: <https://patientengagementhit.com/news/top-challenges-impacting-patient-access-to-healthcarehttps://www.hl7.org/fhir/> [Accessed 11 Sept. 2020].
   6. Haque, M.E., Ahsan, M.A., Rahman, F., et all, 2019. “The challenges of eHealth implementation in developing countries: A literature review”. Journal of Dental and Medical Sciences. 18 (5), Ser. 12, pp. 41–57.
   7. Ben-Assuli, O., 2015. “Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments”. Health Polic, 119, pp. 287-297.
      https://doi.org/10.1016/j.healthpol.2014.11.014
   8. What information does an electronic health record (EHR) contain? [online]. Available at: <https://www.healthit.gov/providers-professionals/faqs/what-information-does-electronic-health-record-ehr-containhttps://www.hl7.org/fhir/> [Accessed 11 Sept. 2020].
   9. Kovalenko, , Pezentsali, G., Tsarenko, K., 2018. “Medical information system adaptation for E-Health. Some principles of medical information system reorganization technology for medical data exchange and service extension”. I International. scientific-practical conf. “Information systems and technologies in medicine” (ISM–2018), pp. 27–28.
   10. Reddy, Digital Transformation in Healthcare in 2020: 7 Key Trends. [online]. Available at: <https://www.digitalauthority.me/resources/state-of-digital-transformation-healthcare/> [Accessed 11 Sept. 2020].
   11. Tzourakis, M., 1996. The Healthcare Industry and Data Quality (PDF). International Conference on Information Quality.
   12. What is e-health? [online]. Available at: <https://pubmed.ncbi.nlm.nih.gov/11720962/https://www.hl7.org/fhir/> [Accessed 11 Sept. 2020] (In Russian).
   13. Kozak, L.M., Kovalenko, A.S., Kryvova, O.A., Romanyuk, O.A., 2018. “Digital Transformation in Medicine: From Formalized Medical Documents to Information Technologies of Digital Medicine”. Kibern. vyčisl. teh., 4(194), pp. 61-78.
       https://doi.org/10.15407/kvt194.04.061
   14. Wakia, K., Fujitaa, H., Uchimuraa, Y., Aramakia, E., Omaeb, K., Kadowakia, T., Ohea, K., 2012. “DialBetics: smartphone-based selfmanagement for type 2 diabetes patients”. J. Diabetes Sci. Technol, 6(4), pp. 983-985.
       https://doi.org/10.1177/193229681200600433
   15.  Kovalenko, A.S., Kozak, L.M., Romanyuk, O.A., Maresova, T.A., Nenasheva, L.V., Finyak G.I., 2018. “Mobile Applications in the Structure of Modern Medical Information Systems”. Upravlausie sistemy i masiny, pp. 57-69.
       https://doi.org/10.15407/usim.2018.04.057
   16. Draft global strategy on digital health 2020–2025. July 2020 by WHO. [online]. Available at: <https://www.who.int/docs/default-source/documents/gs4dhdaa2a9f352b0445bafbc79ca799dce4d.pdf> [Accessed 11 Sept. 2020].
   17. Romanyuk, O., Kozak, L.M., Kovalenko, O.S, 2020. “Implementation of e-Health Systems Taking into Account the Peculiarities of healthcare actors”. International. scientific-practical conf. “Information systems and technologies in medicine” (ISM–2020), November 26-27, 2020, Kharkiv.

Received o3.10.2020