ORGANIZATIONAL, LEGAL AND TECHNOLOGICAL ASPECTS OF HEALTH INFORMATION EXCHANGE
https://doi.org/10.23934/2223-9022-2017-6-1-10-16
Abstract
The article discusses organizational and legal aspects of electronic health information exchange in developed countries, particularly, introduction of electronic medical records in the United States and Europe, as well as topical issues related to standardization of information technologies in health care. We briefly describe the most popular standards used in e-medicine, such as Digital Imaging and Communications in Medicine (DICOM), openEHR and HL7. The questions of syntactic and semantic interoperability in the exchange of electronic medical records and some aspects of the digital signature use are also considered. We suggest mechanisms for implementation of electronic document management and sharing of digital medical information, as one of the most important directions of information technologies in health care. It is noted that today, the main limiting factor in providing the digital exchange of health information in Russian Federation is unresolved legal issues, i.e. the absence of a legal framework of electronic medical records share. At the same time, the level of IT development in our country is quite sufficient to meet current challenges. It is stated that, despite the unresolved number of problems (for example, completeness of medical data on a patient, given to relatives in critical situations), the adoption of a single electronic card is able to bring medical care to a new level, especially in emergency and urgent medicine.
About the Authors
N. A. Karasev
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation
Moscow
Russian Federation
Moscow
V. A. Vasiljev
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation
Moscow
Russian Federation
Moscow
A. I. Maksimov
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation
Moscow
Russian Federation
Moscow
V. A. Molodov
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation
Russian Federation
Researcher of the Laboratory of Automated Control System for Diagnostics and Treatment,
Moscow
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Review
For citations:
Karasev N.A., Vasiljev V.A., Maksimov A.I., Molodov V.A. ORGANIZATIONAL, LEGAL AND TECHNOLOGICAL ASPECTS OF HEALTH INFORMATION EXCHANGE. Russian Sklifosovsky Journal "Emergency Medical Care". 2017;6(1):52-57. (In Russ.) https://doi.org/10.23934/2223-9022-2017-6-1-10-16
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