Information Technologies for Medicine
Tool-Kit Libraries to Develop Medical Information Systems
Tech Area / Field
- INF-SOF/Software/Information and Communications
3 Approved without Funding
BELSOFT Scientific Production Enterprise, Belarus, Minsk
- Hitec Communications, Austria, Vienna
Project summaryPurpose of the project, the state of the art in the field of research and the impact of the proposed project on the progress in this field.
Specific health care problems of the personnel of large industrial enterprises, such as cooperation of the network of allogeneous enterprise medical bodies, cooperation with outside organizations, territory dispersion of contingent, practice of patient processing through the vertical of health care offices in difficult cases, absence of highly qualified personnel at the local level etc., can be solved by creation of the common medical information environment at a large enterprise.
The elements of such environment are complex information systems of health care offices, common centralized databases of medical information, enterprise computer networks and access to telemedicine systems through Internet global network.
Currently there are no invariant adjusted systems of complex computerizing of the medical office in the Republic of Belarus. On a global level a completely computerized medical office is rare too. This is not only due to high cost to create such a system, but also due to difficulty to formalize the activities of the medical institution. In contradistinction from a case when foreign equipment is supplied, which is better than the local equipment according to many parameters, Belarus medical institutions cannot buy foreign information systems as far as they are not applicable to the national health care due to differences in the very organization of the health care of population, differences in processing and reporting and due to the fact software applications are not localized (not in Russian or Belorussian language).
Implementation of new medical technologies, elevation of effectiveness of work of the medical personnel and quality of the offered medical care, capacity increase of diagnostic services and manipulation rooms needs to create common information environment for health care, which is an integrated medical information system.
The “Tool-kit libraries to develop medical information systems” project is devoted to effective solution of the previously listed circumstances related to under-time development and installation of medical information systems at large enterprises.
The main purpose of the project is to develop tools, prototype information and telecommunication technologies for complex computerizing of health care offices of large enterprises in order to become a leading supplier of integrated turnkey medical information systems to the Republic of Belarus and other Russian-speaking countries of the former USSR. The concept of the project is based on a strategy to develop tools and technologies to integrate elements of several classes of the medical information systems (office, laboratory, expert) into common information and functional environment: that will allow to provide complete automation of all services of the health care center both paperwork processing, accounting and keeping of clinic records about the patient, integration with medical equipment and support of decision making.
Competence of the Project’s Participants.
NPP Belsoft, Inc. designs and installs Automated Information Systems (AIS) for health care institutions. Such solutions have already been installed at Pinsk Radiation Diagnostic and Recuperation Center and at the medical office of ATLANT Refrigerator Plant (Minsk City). Currently ideology and core structure of the AIS is created. This will be the basis to fulfill new tasks within the framework of the project to develop tool kits, prototype information and telecommunication technologies for complex computerization of health care offices of large enterprises.
Scope of Activities.
In order to reach the specified purpose during implementation of the project the following basic tasks should be solved.
Task 1. Development of information model (conceptual and logical level) of the large medical institution.
Solution of the task 1 is pided into following milestones of works:
– study document circulation of treatment-diagnostic and economy process;
– analyze received information to set elementary functions of personnel’s work and specification of the input/output information flow diagrams of these functions;
– choose tool kit to create information model;
– modeling by implementation of electronic analogues of the documents in a form of information objects, and specification of operations of hierarchy functions over them according to the processes running in the system.
Task 2. Development of the basis software libraries and technologies of server part of the medical information system.
Solution of the task 2 is pided into following milestones of works:
– implement information model, which specifies subject level of the service part;
– implement common system mechanisms, which are system level of the server part;
– develop adjusting tools to set database management system, which is basis level of the server part;
Task 3. Development of technologies and software libraries of universal interface of the client part workplace of the medical information system.
When task 3 is executed technologies and tool-kits are developed this will allow a user-doctor to select necessary information, chose the way of its display, arrange it according to his/her requirements, add data into the electronic medical card and get information about his/her/alien amendments of the data within the limit of his/her authority.
Task 4. Development of software libraries of the prototype workplaces of the client part of the medical information system, tools to configure and administer them.
When task 4 is executed software libraries will be developed for the universal workplace of the user of the medical information system having all fulfilled functions and tools to create it on the basis of templates – prototype workplaces of doctors-specialist with the possibility to configure and administer them dynamically.
Task 5. To create a prototype system, provide marketing, demonstration and training.
Difficulty to adapt computer technology to reality has always been one of the obstacles on the way to develop computer systems for medical purposes. To develop and install many medical information systems, especially if ordered by order, a lot of time is needed.
It will be difficult for the medical personnel to understand all functional possibilities of the information system without productive cooperation with the technical specialists. On the other hand developers will not get response from the medical personnel without proper contacts, which could help to correct primary settings on the basis of which the system is built.
When task 5 is executed a prototype of the medical information system will be created with the use of the developed tool-kits, invariant information and telecommunication technologies. It is presumed to involve future potential users of the developed tool-kits and technologies to cooperate by participating in different demonstrations and training.
Technical Approach and Methodology.
To build an information model of the medical institution when Task 1 is executed it will be taken into account that all electronic documents should carry information about the author and creator, access rights, validity status (created, agreed, signed, etc.).
When task 2 is executed to develop basis software libraries and technologies of the server part of the medical information system, which fulfill the information model and general system mechanisms, it is important to chose and develop the instruments to adjust database management system. In order to solve the task relation a platform-independent 4th-Dimention (4D) Database will be used. ACI corporation has developed a family of 4D Database. 4D is a powerful system to manage “client-server” databases, which allows to create programs of any level of complexity, which is obviously important to create medical information systems of big document’s circulation, data-information systems and powerful databases that also work in computer networks and telecommunications.
When task 3 is executed on the basis of the analysis result of the subject area, which is done during execution of task 1. A universal interface technology of the workplace of the doctor-user will be developed as an electronic medical card.
A medical card will include information technology, which appears during ambulatory and clinical work with the patient. From the point of view of the terminology traditionally used in document processing of the medical institution, the medical card is a combination of the outpatient card, specialized ambulatory cards, case history and specialized cases of the patient’s history. Among many advantages of this approach the most constructive one is the fact that natural correlation of the elements of the medical card will allow to fulfill not only the traditional mechanism of information transmission by making extracts from the ambulatory card and case history, but complete access to any information about the patient within the limits of authority of the system user, which is more effective and useful.
An integrated medical information system supposes a large number of types of the workplace types. That is why creation of a separate library for every one of them would need implementation of the large number of executed programs. The difficulty would not be in a big size of every program, but in the fact that in the process of support it would be necessary to constantly change either, one or another function or recreate all workplaces that would use these functions. Due to this within the framework of execution of task 4 a library of the programs of the workplace will be developed, the workplace tat had all fulfilled functions of the medical information system.
Application of the metalevel of the description of the information model while execution of task 1 will provide modulness in the sense of installation. Fragments of description of the information model will be formed as distributives for inpidual installation during execution of task 4.
Creation of invariant information and telecommunication technologies of the prototype system, which will have all major properties of the information system of the large medical institution, while execution of the task 5 with the use of the tool-kits, which are developed in tasks 1-4, will simplify interlocution with the medical users. Due to the prototype system potential users will get a real impression how equal systems will look like and how they will work. Necessary amendments will be made to the developed tools and technologies on the basis of the feedback of the medical personnel. In return this increases the probability that the systems created in the final variant with the use of the developed tools and means will be suitable for practical use.
Execution of the project will allow to fulfil the following goals and objectives of ISTC:
– to offer Belorussian weapon-oriented scientists and specialists a possibility to redirect their talents to peaceful activities;
– to support applied research and technology development for peaceful purposes in the health care field;
– to reinforce transition to market-based economies responsive to civil needs.
Role of Collaborator.
Hitec Communications may financially support the project to systematize knowledge previously received by NPP Belsoft, Inc. in the sphere of automation and information of the institutions and organizations in order to develop prototype instrumental technology and invariant software tools to computerize medical institutions. The survivability test of research and making tests, and evaluation of the created prototype of the medical information system will do development results.
During project execution the Collaborator expects to fulfill:
– information exchange and mutual seminars in order to control execution of R&D, scientific and technical level of the received results;
– organization of independent expertise and participation in works to evaluate information model of the large medical institution, tests of the developed software packages and prototype of the medical information system;
– preparation and signing an agreement between the Partner and the Institution, which will determine the order of the legal protection, and offering of the licenses according to agreement on mutual ownership of the intellectual property for the received results;
– mutual development of the Technology Implementation Plan of the step-by-step adoption of the development results and usage of the developed tool-kits, invariant information and telecommunication technologies.
Expected Results and their Application.
Software tools developed within the framework of the project, prototype information and telecommunication technologies will be represented by a kit of integration and fulfilment tools of medical information systems for health care institutions, which include:
– technological libraries of input, storage and presentation of necessary information (server and client part);
– technological libraries of data processing and analysis (client part mainly);
– mechanisms and tools of integration into system of specialized medical sub-systems, intellectual sub-systems and other components of different types (multimedia technologies, telemedicine, means of remote access and intellectual analysis of operation effectiveness, etc.).
Technologies and tools developed during execution of the project are supposed to be tested and partially installed in medical information systems of policlinics of the largest industrial enterprises of the country. In relation to this after the project is finished good perspectives open to use the developed technologies and tools to design and create modern information systems in a limited time for dozens medical institutions of Belarus and Russia due to their focus on national standards of health care, complexness and much lower cost.
The International Science and Technology Center (ISTC) is an intergovernmental organization connecting scientists from Kazakhstan, Armenia, Tajikistan, Kyrgyzstan, and Georgia with their peers and research organizations in the EU, Japan, Republic of Korea, Norway and the United States.
ISTC facilitates international science projects and assists the global scientific and business community to source and engage with CIS and Georgian institutes that develop or possess an excellence of scientific know-how.