The systems of this class are intended for information support for adoption of both specific medical decisions and 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.

Information Systems Consultative - Diagnostic Centers Designed to organize consultative and diagnostic examinations of patients, registration, processing, analysis, accumulation and storage of diagnostic information.

Information systems of polyclinic institutions Designed to organize and analyze the work of specialists and therapeutic - diagnostic cabinets of polyclinics, storage of information on the population attached to this polyclinic and the formation of this necessary medical and statistical reporting.

Information systems of stationary medical facilities Designed to register patient appeals to the reception office of the hospital, their movements on therapeutic branches, accumulation in the database of anaman, clinical, diagnostic and other information, personalized accounting of medicines and the results of the patient's stay in the hospital.

Polyclinic and stationary information systems form accounts - registers for the rendered polyclinic and inpatient assistance presented to pay for insurance medical organizations.

Information systems of the territorial level.

This software complexes provide management with specialized and profile medical services, polyclinic (including dispensarization), stationary and emergency medical care at the territory level (city, regions, republic).

At this level, medical information systems are represented by the following main groups:

Information systems of territorial health carecarrying out the accumulation and processing of information on the work of all medical facilities.

Personalified registers (databases and data banks) containing information about certain patient contingents (professional diseases, diabetes, narcology, etc.).

Information systems of departments (centers) for emergency consultative assistanceproviding interconnection interaction for remote consultations, departure of specialists and evacuation of patients with the aim of providing highly qualified and specialized medical care.

Information Systems of Mandatory Medical Insurance Fundsproviding information support for planning and monitoring financing medical institutions through the OMS system.

Information systems for organizing and monitoring the population of the population, including accounting of preferential medicines.

Medical information systems of the federal level

The systems of this class are intended for information support for the State Level of Health System of Russia on the basis of data obtained from territorial healthcare offices on approved statistical reporting forms.

Functional classification of MIS.

Information systems (IP) of the level of medical facilities are primarily intended for the information support of the main business processes of these institutions and, as a result, organizing their work at a higher quality level.

These include:

Medical and technological IS;

Information and reference systems;

Statistical IP;

Research IS;

Educational IS.

These IS are operated in medical institutions of various levels (from the Cabinet of a general practitioner to large interregional and federal medical centers), in sanatorium-resort institutions, diagnostic centers, blood transfusion stations, specialized centers (AIDS, family planning, etc.). Medical information systems (MIS) are most important among them, which integrate the above-mentioned types of IP, which in this case act as a subsystem of the general MIS.

The American Institute of Medical Institute will record 5 differing levels of medical information systems:

The first level of MIS are automated medical records. This level is characterized by the fact that only about 50% of the patient information is entered into the information system and in a different form is issued to its users as reports. On the this level Usually covered the patient registration, extracts, and hospitals, entering diagnostic information, destination, operations. Information processes here are in parallel with the "paper" document flow and serve primarily to form a different type of reporting.

The second level of the MIS is a computerized medical record system (Computerized Medical Record System). At this level, medical documents that were not previously introduced into electronic memory (primarily these information from diagnostic devices obtained in the form of various types of printouts, scanograms, topograms, etc.) are indexed, scanned and remembered in electronic storage systems (as a rule, on magneto-optical drives).

The third level of MIS is the use of electronic medical records (Electronic Medical Records). At this level, an appropriate infrastructure must be developed for entering, processing and storing information from their jobs. Users are identified by the system, they are given access rights that correspond to their status. The structure of electronic medical records is determined by the capabilities of their software processing. At this level of development, MIS Electronic Medical Record plays an active role in the decision-making and integration process with expert systems, for example, when making a diagnosis, choosing medicines, taking into account the present somatic and allergic patient status, etc.

In the fourth level of the MIS, which is called electronic medical records (Electronic Patient Record Systems or Computer-Based Patient Record Systems), patient entries have much more information sources. They contain all the relevant medical information on a particular patient whose sources can be both one and several medical institutions. For such a level of development, a national or international system of identification of patients is needed, a single terminology system, information structure, coding, etc.

The fifth level of the MIS call email About Health (Electronic Health Records). From the patient's electronic records system, it is distinguished by the existence of practically unlimited sources of patient health information, which allows you to accumulate information about its behavioral and social activities (smoking, sports, use of diets, etc.). In essence, electronic health passports of the population accumulate in the case of the fifth level (Long Life Personal Health Record).

According to the current standard, medical information systems must ensure the implementation of the following functions:

Conducting medical records ("electronic illnesses of the disease");

Formation of structural and economic descriptions (passports) of the LPU and the transfer of them to consolidated database LPU passports, which are conducted in the territorial Funds of the OMS and territorial healthcare offices;

Accounting for patients and maintaining the register of medical services for OMS;

Planning and accounting of performed vaccinations;

Mutual settlements with SMO and territorial foundations of OMS for treated patients;

Maintaining regulatory information;

Operational planning and accounting of medical care resources (kainy fund, medical personnel, complex medical equipment, reception office, reserves of pharmacy goods);

Planning and accounting of therapeutic and diagnostic purposes, as well as directions to other LPUs;

Submission of state medical statistical reporting into territorial healthcare management;

Maintaining database of registered diagnoses for the formation of disease statistics;

Formation of information on the presence of drugs available to patients and maintaining drugs represented by patients on benefits.

MIS should be a tool providing and organizing the work of a medical institution. For this, it should cover the entire set of information about medical services provided in it and should provide an opportunity to receive various performance of the medical institution, in particular:

Indicators characterizing the processes of rendering medical care: timely detection of pathology, nationality of hospitalization, timely capture of patients on dispensary accounting, analysis of discrepancies of diagnoses, volume of diagnostic and laboratory studies; compliance with the standards of the duration of treatment, deviation from the medicinal form of drug therapy; The proportion of paraclinic treatment methods, that is, the compliance of the assistance provided standards and treatment protocols.

Result indicators (final results): decrease in labor and occasion of disability; decline in the duration of the duration of treatment, the level of hospitalization, rope on the SMP; Reducing mortality in working age; Reducing the level of morbidity and pain as a result of timely and efficient dispensarization and high level of immunization; Reducing the number of "launched" cases of oncopathology, tuberculosis, etc.

Indicators of the effectiveness of treatment: the absence of relapses, complications, cases of re-hospitalization; Compliance of the cost level of the amount of assistance rendered; satisfaction of insured patients with the level of assistance rendered; Improving population health indicators, etc.

It should be noted that in addition to medical IP, specialized ICs may be operated in medical institutions, for example, accounting department, personnel department, group (department) for the repair and maintenance of medical equipment, etc., as well as specialized image storage systems, specialized diagnostic systems, etc. d. The modern concept of building medical information systems involves the presence of their close interaction on the basis of standard data exchange protocols, such as XML, HL7, DICOM, etc.

At the same time, the information interaction of MIS with information systems of other medical organizations should be organized, in particular:

with other LPU and sanatorium-resort institutions;

with territorial healthcare health and medical department of ministries and departments;

insurance medical organizations and territorial funds of compulsory health insurance;

bodies of state sanitary epidemiological supervision;

medical educational institutions.

This exchange is carried out in accordance with the standards (protocols) of the information exchange, known for all participants of such an exchange. The protocols of information exchange in the health care system and the OMS of the Krasnoyarsk Territory are approved by the conciliation commission and are included in the tariff agreement in the system of compulsory medical insurance of the Krasnoyarsk Territory. At the federal level, the information exchange standards are developed and approved by the Ministry of Health and Social Development of the Russian Federation.

Electronic Medical Card (EMK, Electronic Medical Record, EMR) - Electronic set of information related to the health of the subject (patient), which is created, is stored, is carried out and used by certified medical professionals and personnel in one health organization.

Justification of the need to use EMK in the medical and diagnostic process:

1. Over the past 40-50 years, the amount of information from which the doctor operates has increased several times and continues to grow. On the other hand, the technology of working with increased data streams remained at the level of the middle of the last century. Accordingly, you need an effective "tool" processing of a constantly growing amount of medical information and a powerful "amplifier" of the doctor's capabilities.

2. With the exception of accounting and personnel automation tools, most of the information systems introduced in the LPU is individual programs or their complexes for solving specific specialized tasks. For example, accounting of services and data exchange with insurance companies and OMS funds, mortality accounting, fertility accounting, incidence of diabetes mellitus, tuberculosis, etc.

3. For each "accounting", as a rule, a separate special software is supplied, in no way or not interacting with other programs. The more you need to "take into account", the more diverse programs are being introduced in each LPU and each new program Requires, to enter into "its" database, all or some of the information that has already been entered into the database of another program, unreasonably increasing the load on personnel.

4. The doctor, in addition to the maintenance of a medical card in paper, is required to fill out statistical coupons, the forms of patient accounts with the first time identified diseases, etc.

The introduction of EMK removes the need to support the "zoo" of the accounting programs and the formation of numerous accounting forms, because Any report or account may be obtained from ECM automatically at any time.

The use of modern computer technology and the introduction of an electronic medical card in LPU is the most efficient mechanism that allows you to promptly structure, detail, analyze and use all information recorded in the medical card.

Independent work "Work in MIS BARS"

Access through the Mozilla Firefox browser

http://31.13.128.106/med2/

Login: Demouser.

Password: demo2010.

Cabinet: Advisory Cabinet

Exercise 1. Get acquainted with all the capabilities of MIS BARS. Note what functions this MIS performs, and, using table "Functions of medical information systems", Take a conclusion to which class of the MIS it applies. NOTES: Make your note with a plus card (+). Your output must be written after the table.

	Functions of information systems	Classes IS.
	Information support for the processes of diagnosis, treatment and rehabilitation of patients
	Information support of the activities of doctors (pharmacological databases, guidelines for the use of medicines, patient management protocols)
	Personal accounting of patients, maintenance and processing of medical documents
	Accounting for medical care and medical services rendered to patients, determining the need for basic types of medical care; Evaluation, control and quality assurance of medical care
	Calculation of standards and payment tariffs for medical assistance rendered; Organization of mutual settlements between health facilities
	Accounting, planning of financial and material resources and managing health facilities
	Monitoring for the state of the medical and demographic and epidemiological situation
	Collection and processing of medical statistics, monitoring the health of the population, registration and presentation of state medical statistical reporting, analysis of statistical data
	Support for decision-making, including on the basis of modern knowledge bases, methods of logical conclusion, expert systems, etc.
	Information exchange between health care, as well as IC of other departments (social protection, education, etc.) in standard sharing formats
	Support for telemedicine technologies (telemontoring, telemedicine counseling and consultations, video conferencing, access to remote information resources)
	Access to Internet resources; Formation and support of own information Internet resources.
	Support for learning processes, training and retraining of specialists
	Maintaining the database of regulatory and reference documentation
	Automation of document management in the institution

Output: __________________________________________________________________

Task 2. Get acquainted with the IP menu. Answer questions (the answer will look like this: Accounting / accounts Registries)

In which section, in which menu item can you register a new patient?
In which section, in which menu item, you can write a patient to a doctor?
In which section, in which menu item, you can see the schedule of doctors?
In which section, in which menu item, you can select and view the list of outpatient cards for a certain period of time (for example, the last month)?
In which section, in which menu item, you can see the departments statistics (the number of beds in the department, the number of patients in the department, etc.)?
In which section, in which menu item, you can write a patient a sick leave?
In which section, in which menu item, you can add / change the LPU structure?

Task 3.Specify for which user (registrar, doctor, head of the department, the chief physician, the information system administrator) is intended for one or another section of the information system and why.

Task 4.

Search for patient database: Find your namesakes, or surnames similar to yours, make screenshot.

Task 5.. Search for another patient (according to an arbitrary surname, except for the surname of Ivanov, the patient must necessarily be registered, otherwise it will not be possible to write it on reception). Write it down on reception (Payment - OMS). Make screenshot.

Do not close the window that appears.

Task 6. Form the route trip for this patient. To do this, click on the "Cone" key

Task 7. In the workplace of the chief physician, find the patient you recorded earlier, make screenshot.

Task 8. In the accounting point to see the magazine pay for the current month for cash. Make screenshot.

MIS Ristar is a set of programs, Web applications and services working with a single database.

MIS-Ristar comes either as part of a hardware and software package, or pre-installed on the jobs provided by the Customer, or in the form of a distribution kit and ensures automation of entering, processing, storing, searching and analyzing all information processed by the administration and personnel of medical institutions.

MIS-Ristar includes:

Database - repository of accumulated information and procedures for processing this information.

- Applications designed to automate the workplaces of the administration of therapeutic and profilatic institutions, doctors, medium and younger medical staff, as well as non-medical personnel.

- A set of online applications and services for patients, personnel and medical institutions, as well as for business owners (for private medical institutions)

- Analysis module of accumulated data and report forming that allows you to create arbitrary database requests, receive any reports and analytical references, analyze the accumulated data on free search criteria

- Special program "Tools", allowing you to quickly configure the system as a whole and each workplace Depending on the specifics of the work, including:

- "Designer" of programs (courses) of treatment / examination / rehabilitation, designed to appoint diagnostic chosenses, sets of medical and rehabilitation procedures, in-depth medical examinations and medical commissions "one button"

- "Designer" of structured documents ("templates") of an electronic medical card (hereinafter EMK), which allows you to customize the on-screen and printed forms of EMK documents, as well as to bind fill in the field document with the database. At the same time, with each document EMK, you can work both with a text document and as with a structure optimized for automatic processing

- "Editor" of complex rules ", to promptly configure the conditions for verifying the accuracy of the data obtained, for example, from diagnostic equipment and automatic evaluation of" deviations from the norm "depending on the values \u200b\u200bof other parameters (growth, weight, patient's age, type of equipment, individual patient features etc.)

- "Designer" of printed and screen forms and blanks, allowing you to create new or previously created reports and database queries (databases) required for samples from the database of information displayed in these blanks

- "Print Parameters Settings", providing configuration of print order of all documents by all users (Number of copies by default, preview etc.) at the level of the system as a whole, for a particular organization, division or user

- "Designer" of data structures and registered parameters, providing an unlimited extension of a list of stored and processed data system, including for use in analytics and reports (in fact, allows you to add new "fields" to the database without making changes in the program code and in the structure Database)

Customized settings for each user (types of screens, sizes and color of fonts, etc.)

- Special program "Tools" and "Designers" of export / import data support for the organization of information interaction with third-party information systems (Laboratory Information Systems (Fox, Storage and Image Processing Systems (PACS), Automation Systems of Administrative Activities, Medical Information Systems of third-party manufacturers , information systems of regional and national / federal levels, etc.)

Configuration and architecture.

In general, MIS Ristar can be configured to work:

- on separate workstations (automated workplaces)

- within local computing network Departments (divisions)

- as part of the institution as a whole

- in a single information space, uniting various, including remote medical facilities related to local information networks or Internet channels.

Software running MS Windows 2000, Windows XP, Windows Vista, Windows 7 and Older

DBMS Oracle Oracle 10G, 11G and older (for small solutions - up to 20 DBMS jobs are included in the solution supplied and does not require additional license costs.

Architecture is a client server, or multi-part architecture.

Special technical solutions allow work to implement the system to conduct in various versions depending on the requirements and capabilities of the customer:

- Option I. Comprehensive equipment supply and softwareInstalling workstations at each workplace.

- Option II. Starting the system and start work in the minimum option with the subsequent extension (you can start with 2-3 jobs). The extension work is reduced to connecting new jobs, their individual configuration, depending on the specialization, connecting additional functional blocks of software.

II option is recommended when implementing MIS-Ristar in an already operating institution, because It is impossible to distract all personnel from the main work for training, as well as during the installation and settings of jobs.

Expansion and development of "full-time" means

MIS-Ristar can develop in several directions:

- connecting additional jobs

- connecting additional functional modules

- combining several institutions and organization of their work with a common database, with the possibility of obtaining relevant reporting and analyzing the saved information, both separately for each institution or a group of institutions and throughout the database

- operational amendments to the already used reports or formation and inclusion in the list of available reports of new arbitrary reporting and analytical forms

- operational changes to the already used forms and printed forms or adding new arbitrary printed Forms And Blankov

- unlimited expansion of the nomenclature of stored data, including the addition of new "fields" without changing the database structure and without the involvement of programming specialists

- according to the Additional Agreement, the development and connection of new functionality and / or new applications.

Internet applications and services:

1) Self-selection. Used for direct independent recording of patients to the doctor by reference posted on the site.

2) Information kiosks (infomatics) installed in the lp lip. Used to independently write patients when downloaded by registry or to record to certain specialists / for certain studies (procedures)

3) Subsystem alerts and E-mail newsletters

4) Remote registry. Web interface for working places in the registration and pre-recording of patients. It can be used for remote registry, for example, with preventive or profuses directly on the exit on the territory of the institution that ordered an inspection. Doctors for recording "from home" on the patient's call. Work of registry from remote branches. Information department (call-center ") for recording patients along with the" fat "client.

5) Remote jobs doctors. Web-interface for workplaces in medical staff for conducting electronic medical maps (EMK) patients. It can be used to organize remote jobs when leaving "at home", when working with remote branches with a weak or unreliable Internet connection.

6) ON-LINE QUESTIONS. Allows the patient waiting for the reception to fill the appropriate questionnaire - frequently asked by the doctor questions from informat or on self-copying via the Internet. The filled questionnaire is connected to the "History of Disease" of the patient and allows the doctor not to spend time on the patient's preliminary survey. Questionnaires can be made for each medical specialty, in fact this is a preliminary collection of complaints and anamnesis - everything that the doctor records in the "history of the disease" "from the words of the patient." Additionally, the module setting up and processing the "scan" questionnaire (when filling out the questionnaire "on paper", for example, during dispensarization.

7) Information table. Allows you to display the current reception schedule with free / busy places on the television screen and / or external monitor.

8) Links to the schedule grid for an external site.Designed for direct links from sites.

9) Published price list. To display the price list on the external site.

10) Published schedule.

11) Print service (transformation of protocols filled by doctors in Word and / or PDF) - directly from the docmainfrom.exe task.

File exchange

1. "Attaching" files to the "illness history" of the patient - files are saved in a separate file storage

2. Bilateral data exchange with foxes (PACS). Vlis (PACS)applications for research in the files of the appropriate formats, the results of studies in the files of agreed formats and PDF formats for printing and sending patients are returned from the foxes.

3. According to the same scheme, data exchange with functional diagnostics devices, special simulators, third-party systems, and the like are being implemented.

Integration with third-party information systems

1. Configuring information interaction in accounting automation systems (1C, sail)

2. Bilateral information exchange of data with image processing systems and radiological systems (PACS, Fig)

3. Bilateral Information Exchange with Laboratory Automation Systems (LIS)

4. Integration with a pharmacy warehouse control system (pharmacy kiosk)

5. Integration with federal and regional services EMIS (Setup depending on the region)

6. Integration with any third-party information system for the Customer TK

Coming 2019 and all medical organizations will need to be in obligatory Introduce medical information systems or abbreviated MIS.

The advantages of such a system for all employees are obvious:

• For the clinic director - a convenient display of clinic statistics and reporting constructor.
• For the clinic administrator - a convenient system of displaying the schedule of each specialist, maintaining accounting and printing the necessary documents for clicking the mouse.
• For doctors - reminders of recording on reception, full history of the disease, various treatment plans and price list for services.

Now the market data market in Russia has more than a hundred decisions. In this article we publish the most popular solutions in the Russian Federation.

Before you begin to choose which information system to implement, contact your MIS integration specialists. The main criterion for the selection of the future contractor should be the experience of introducing and knowledge of the features of business processes in the clinic.

If suddenly, your MIS does not meet the declared requirements of the Ministry of Health of Russia and you suddenly decide to replace it, it is worth noting that if you acquired a medical information system in the framework of the Basic Informatization program, which took place in 2011-2012, you can get an accusation in ineffective use of budgetary funds.

How to do the right in this case:

• Conduct an independent examination of your miss
• Send a letter to your Regional Health Office for MIS shift

Either there is an option to negotiate with the developers for the replacement of the information system, and the costs have already to be implemented as a service, and not as the purchase of a new software.

The composition of medical information systems for each medical organization may differ in the composition of the included modules.

For example: MIS of hospitals need modules - a receiving department, maintaining electronic stationary patient cards, managing a shank foundation.

Then what modules are you needed by your organization you can read in " Methodical recommendations to ensure the functionality of medical information systems of medical organizations "approved by the Ministry of Health Russian Federation.

We recommend that you also familiarize yourself with the "Unified Registry of Russian Programs for Electronic Computing Machines and Databases", which is located on the website of the Ministry of Communications. BUY MIS You have the right only from this Registry.

IMPORTANT! From January 1, 2016, a legislative ban on foreign goods and work is operating in the system of state procurement!

On this with the regulatory part, allow you to finish and go directly to the review of the most common medical information systems.

Medods.

Cost: from 3900 rubles

Medods is a new generation medical system. It is used both in private clinics and in government agencies.

Does not require long-term training training due to a friendly and simple interface.

It has both the main common features as: recording for reception and invoice and powerful marketing modules.

The main advantage for which it is most often chosen is the cost of medods, it is very democratic and fast payback.

Medods includes:

• Cloud solution
• SMS and Email Patient Alert
• Online record for reception to the doctor
• Templates of various protocols
• Patient Electronic Medical Map
• The ability to conduct warehouse accounting
• Creating reports
• Integration with online cash registers
• Integration with laboratories
• Integration with buking portals
• Telephony integration

MEDESK.

Cost: on request

Office Private Clinic With Medical Medical System This combination modern technologies and medicine.

The system features a simple and understandable interface, which makes it possible to master the system with your experts without much effort.

Medesk includes:

• Cloud solution
• SMS Patient Alert
• Online recording to the doctor
• Templates of various protocols
• Integration with online cash registers
• Remote work on consulting patients

Medelement

The main goal of MedElement developers put improving the quality of medical services to the population.

The main pluses of the system can be allocated:

• Cloud data storage
• Electronic Cabinet Cabinet
• Big base of medical directories
• Mobile application can be downloaded for free
• Separate module for automating the clinic public catering unit
• Frequent updates of the medical system

Clinic365.

Cost: from 25,000 rubles.

This medical information system has a friendly interface for all basic functions of the medical information system

This solution Includes such modules as:

• patient card file
• schedule
• medical document flow
• finance for payment control.

The main feature of the MIS CLINIC365 is the ability to build a patient's work algorithm. The card includes such information as, the preference of the client, the history of contacts with the patient, and of course medical information.

There is powerful technical support for the product.

Infoclinic

Cost: from 25,000 rubles.

The infoclection health information system will help build a structured information space of a medical clinic. This solution will be convenient for both patients and clinic staff.

MIS "Informatics" has all the necessary tools, which makes it easy to configure integration with other systems of your clinic, and also allows you to adjust flexible communication with patients.

As part of the system a lot of compiled report templates, protocols, disease stories.

Ident.

Cost: from 4900 rubles per month

Ident is a medical information system for dental, which will allow to get away from paper red tapes with patients. A distinctive feature will be the fact that it was created under the guidance of dentists and actually for dentists.

There are several versions of the MIS, the difference in the number of modules included.

Even with the basic functionality, the information system will allow you to:

• Quickly cope with the schedule and reception record
• Lead accounting
• Quickly print documents for the patient
• Conduct statistical reports

Cliniciq

Cost: from 2400 rubles per month

This product is online service For dentists and medical centers.

It has a wide functionality ranging from the base of patients, ending with billing and accounting.

There is integration with the DocDoc portal and Mescanger Viber. The main plus this service It is a very thoughtful recording system for reception and accounting patients.

Medwork

Cost: 69,900 rubles

System Setup Flexibility - Trump Card in MEDWORK Sleeve.

In each clinic, whether it is a small clinic or big there are nuances. The MedWork system is designed, the architecture laid initially variability of settings for any tasks.

There is a convenient editor on the principle of WYSIWYG, which allows you to edit any form of service for the task of the clinic

Medophis

Cost: 16990 rubles

One of the oldest medical systems. Development takes its beginning in the mid-90s.

The system is designed to optimize and automate the work as an ICA and hospital ambulatory. There is a system for accounting medicines.

It is also worth noting the built-in call center and API. There is a pre-recording on reception, there is a call center and an API for integration. In order to learn how to manage this system, there are many video lessons.

Renovatio.

Cost: from 24 000 rubles

This medical information system has an intuitive interface that allows you to easily master it at the start.

It is possible to automatically import into the system, for example, you can quickly make price list for your services and download it in Renovatio.

There is a convenient built-in editor of printed forms.

1C-Razarus: attending physician

Cost: from 10 000 rubles

This system is designed with the participation of leading specialists who are engaged in medical practice. 1C-Razarus: The attending physician is aimed at reducing the time of reception of patients and keeps the entire history of visits to the doctor.

The system also includes such functions as, classifier of diseases, keyword templates, reception scheduler, SMS mailing with a reminder to receive acceptance, Email reports on survey results.

With the system it is convenient to work with both the computer and from the smartphone or tablet.

Bars.med.

Bars. MED allows you to transfer all the work of the medical clinic from the papers into electronic look as soon as possible. It is easy to customize the tasks of the clinic.

Of the basic functions, it is worth noting the presence of a remote recording on the reception and creation of a patient's electronic card.

Also with this system, you can easily build the business processes of your clinic.

Meduszapro

Cost: from 2800 rubles per month

Meduszapro is a cloud service for the automation of the medical clinic.

The system besides the maintenance of outpatient cards, allows you to create newsletters in the form of an SMS message to patients (advertising. Greeting, informational).

There is an opportunity to receive an online reception to the doctor. This function has a database in which the work schedules are recorded, which allows the patient to always see free hours and days of reception.

Implemented personal Area The patient where the entire history of visits is also kept and analyzed. All documents can be downloaded.

It is possible to integrate with touchscreen, where patients in the lobby clinics can automatically be recorded on the reception.

Media

Cost: from 82 500 rubles

The interface of the system media is quite simple to master the user. A system of system prompts is configured, work simplified with the filling of the forms by automatically filling in typical information.

The medial is a modular system, each module can be purchased separately, which allows you not to overpay for unnecessary functionality.

The second plus of the modular system is its light scalability.

Mgerm.

Cost: from 27 900 rubles per month, installments for 12 months.

The system allows you to work with a large database without loss of performance.

To managing the clinic there is a tool for flexible control.

The system of maintaining diseases was created by doctors and for doctors.

The design of the system has a minimalistic design, which allows you to work with the system without distraction to unnecessary interface elements.

The system has an open code and allows you to work with the system without attracting third-party developers.

Bit: Medical Center Management

Cost: from 3600 rubles

Bit. The management of the medical center is a system that is aimed at reducing the costs of work in the medical center.

Three advantages of this system

• Simple and convenient work for staff.
• Flexible control over all areas of the clinic activities: finance, personnel, patients.
• Customer orientation. Informing patients in SMS, thoroughly conducting the history of the disease, shares of the clinic, certificates to patients.

Intramed

Cost: on request

The intramed system has become the best in 2010 in the competition by the Ministry of Health of the Russian Federation.

Benefits IS Intramed:

• powerful reporting system for medical clinic;
• service quality control system and comparison of them with standards;
• the patient's knowledge base collects data for a long period of all changes in health;
• built-in online recording and contact center system;
• all Personal Patient Data Stores a separate system module

MEDIX CRM.

Cost: from 29 900 rubles

Medix CRM Modular Medical System Made in Minimalistic Design.

Key Features:

• Clear distribution of roles (everyone sees only what is responsible for)
• Flexible setting allows you to easily create both departments and personnel
• Fighting routine, all keyword templates are laid in the system and are automatically filled
• Planning system, separately by doctors, separately on the departments of the medical clinic
• Powerful analytical center, easy to obtain statistics on finance and staff work.

Mies medical examination

Cost: on request

The system is designed to simplify and accelerate such a process as a medical examination. In this system are implemented only best Solutions in this region.

Thanks to the system, physical examination you can:

• lower the control system for your staff
• up to 90% reduce time on reception
• the possibility of individual refinement of the functional
• automatic formation of frequently filled documents
• patient survey results are available without getting off the work chairs.
• flexible system fighting system

Archimed +.

Cost: on request

Clinics choose the Medical Information System Archimed + thanks to the modules included in its composition:

• Report module - allows you to draw up more than 15 reports for two clicks
• The doctor's module - allows you to fill in the history of the disease in the shortest possible time, thereby reducing the time of one reception
• Info Plasma Module - Dog module will show real employment of doctors and reduce the queues in the clinic
• Self-copy terminal - we all know that sometimes the registry does not cope, the module of patients will come to the rescue

And also you get:

• Built-in IP telephony
• Work with online cash
• Patient alert by SMS
• Laboratory module, thanks to which all analyzes automatically enter the illness

Cost: from 1900 rubles per month

Medmis Medical Information System has both a boxed version and cloud.

The Medis system has a simple control panel of the information system. From the explicit chips of such simplicity, you can select the ability to display all the schedules of doctors on one page and the ability to reserve receptions.

There is also a great constructor forms for disease stories.

According to 54 phz, everyone is obliged to have online cashier. So, Medmis fully supports the integration of working with online cash registers.

IDENT24.

Cost: from 3315 rubles per month

The medical information system for the dental clinics IDENT24 is good both for the directors of the clinics and for full-time specialists.

Healthcare (LLC "Komk")

Cost: from 99,000 rubles.

Software complex / Medical Information System (PC / MIS) "Healthcare" is designed (a) for full-fledged electronic medical card (EMK), automation of the medical and diagnostic process and accounting activities of large medical institutions of various profiles. MIS "Health Care" has been successfully operating in large medical institutions of the Russian Federation. The system is built taking into account the specifics of domestic medicine and best forms a business model of a medical organization.

Main list of MIS solutions "Healthcare":

• Polyclinic
• Hospital
• Stomatology
• Non-specialized help
• Automation of individual services
• Paid services
• Data unloading and reporting
• Patient Communication System

Finally

Any medical information system is aimed at optimizing the processes in the clinic. Reducing paper rolls and an increase in time to treat patients from your specialists.

Your patients and doctors will be happy and grateful for the introduction of a medical information system only after its complete development. The presence of problems in the implementation phase is normal practice.

Need to introduce MIS in the clinic? For free consultation. And we will create an action plan for you!.

Humanity as its existence comes up with various opportunities to facilitate their existence and simplify life. One of the funds that frees from the routine is a medical information system (MIS), helping to coordinate the work of the health care system.

Information system

What do you understand under them? The information system is defined as an information processing system that works with people and financial resources, on which the provision and distribution of information depends.

Automated system

Under an automated system, a complex is called, which consists of means of automation of human labor and personnel, which serves it. AC performs a function programmed in advance for it. In the case of several automated systems (from two pieces), provided that the functioning of one directly depends on the other (others), they are called integrated.

Medical information systems

Different definitions of the MIS give the shining science. But the most popular option sounds like this: a set of software, information, technical and organizational facilities that intend to automate medical processes / organizations. But for the completeness of information should be familiar with another one. He sounds like this: MIS is a form of organization of medical processes that enable medical personnel with the necessary technical support, use a complex of funds providing collection, processing, analysis, storage and output of medical purposes, which relates to health and its condition for a particular person. In addition to ordinary missions, additionally diagnostic and adjacent IPs are isolated. Identifying them in clear certain groups failed due to the fact that there is no clear state Standardwhich would be qualitatively processed, so there is no generally accepted division into various medical information systems. The classification is nevertheless conducted by individual specialists or groups of specialists.

Classification of information medical systems

Because of the novelty technology, there are no state-shortary standards, so I bring to your attention such a classification:

1. Information services. Information service for patients. It aims to ensure the widest coverage of work and maintenance maximum number People for the minimum time intervals.
2. Information technology medical systems. Object of work - Patient, user - medicine worker.
3. Information and statistical medical systems. Creates the population of the serviced region. The division is carried out on objects and on the territorial principle.
4. Research information medical systems. The main objects of the work are documents and objects of science. Additionally divided by subsystems depending on the differences in description objects.
5. Information and educational and educational medical systems. Educationals provide support to those who pass the preparation and training process. Educational systems are used to assess the level of knowledge.

But besides this, MIS is shared on the subsystems and have a number of additions. Thus, medical information systems, the classification and purpose of which are difficult, were submitted to diagnostic and adjacent types. Additionally, the definition is carried out on whether the system is complex or not.

Complex systems

The medical information system (MIS), which is engaged in both administrative and clinical functions, and for which an electronic medical card is selected as a core, is called a comprehensive automated information medical system. It includes:

1. Caring for automation of accounting, personnel and economic services, office work, engineering support, logistics - all that allows automating administrative and economic activities.
2. Personal accounting system. Huming support for subsystems of procedural and diagnostic departments with a hospital pharmacy.
3. Reference information. This can be both a comprehensive description of various problems, methods of their treatment, symptoms and work schedule, laboratories, their level of employment and a brief dossier.

Diagnostic Information Medical Systems

The task of this type is to receive, transmit and analyze the data that was obtained as a result of certain diagnostic or laboratory studies, using special external devices. Due to the frequency of cases when DIMS or MIS and the differences between their functional are established, they are considered as separate systems. But if there are information medical systems, then DIMS is considered to be its subsystem. Its purpose is to supplement the main one.

Related information medical systems

Modules with aim special use (usually therapeutic or economic). Sims may include personnel or accounting systems, full pharmacy systems (which can provide planning, purchase, and distribution of medicines and inventory of medical purposes), systems for automation of processes in specific offices. Despite the submission of this topic in the article, in practice, it is considered exclusively as a supplement, the purpose of which is to increase the functional.

Modern systems and their use

And finally, some medical information systems of Russia, which are used (although not very common) in medical institutions.

Medical information system built according to the modular principle. It is designed to automate the processes of hospitals and clinic. The number of modules for them is 11 for each institution. Allows you to exchange data and centralized collection of necessary indicators. Supports interaction between personnel, collects data to inform the management of the institution in which the Bars is installed. The medical information system allows you to provide work not only with personnel, but also with patients and facilitate their interaction with a medical institution in writing on acceptance, discracing, hospital sheets, emergency call. Based on the data obtained, reports on individual patients, doctors and medical institutions can form reports.

It is an integrated information and functional environment that combined various classes of medical information systems (MIS). Support for medical institutions - from financial reports and documentation before recordings about individual patients. It is important to integrate with and supporting decision-making systems.

The information system of a medical institution, which conducts automation, planning and optimizes patient treatment processes. Allows you to reduce the time spent on the documentation, coordinates the work of medical offices and laboratories, optimizes the use of labor resources, organizes operational exchange of information.

Medical Medical Information System was developed by Master Lab (Master Lab) to solve a complex of therapeutic and managerial tasks facing modern clinic and hospital. Today, thanks to the twentieth years of experience and development of the system, we can offer a full-featured, scalable and open product - a working instrument of the head, doctor and all staff of the clinic. Mis MEDWORK meets the requirements of GOST R 52636-2006 "Electronic History of Disease", follows recommendations to ensure the functionality of the Ministry of Health of the Ministry of Health of the Russian Federation. As part of the support, the SPO is integrating with and.

Computer program MEDWORK © Designed to automate medical institutions of any profile and provides:

• Maintaining the history of the disease and an outpatient card
• Coverage of all major stages of therapeutic process
• Receipt and processing of medical and financial statistics
• Preparation and print statements
• Planning techniques, medical work
• Formation of accounts to patients and accounting services
• Automation of print sheets of disability
• Interaction with organizations and insurance companies for OMS and DMS
• Design and formation of output reporting forms
• Applicable in all types of medical institutions thanks to:

1. Full customizability by the user of all forms of input and extracts
2. Ease of administration and training
3. Scalability of the system from use in a medplex to a large clinic, diagnostic center, hospital from several buildings
4. Flexibility and convenience of the system in configuring user profiles, in integration with existing programs, export-import data from existing programs
5. Openness system for refinement and maintenance of both clinics staff and third-party developers

Disease history

In MedWork, the patient's disease is presented in the form of a patient card consisting of a set of documents (forms) as usual for doctors. Documents may contain data of various kinds: text, images, tables, diagrams, etc.

This allows you to store in in electronic format Any information about the patient and course of treatment, including:

• survey results;
• descriptions of the patient's functional state, diagnoses;
• information about operations, procedures;
• laboratory test data;
• treatment accounts;
• images obtained from medical devices, scanner or digital camera.

Filling the map significantly accelerates through the use of formalized treatment and replenished and customized reference schemes.

Convenient interface with the possibility of grouping and sorting documents allows the doctor to quickly find necessary information in the patient map.

Data from devices (ultrasound, cardiograms, tests, etc.) can be directly transmitted to the patient card using a special interface.

Extract from the history of the disease with one press of the key

Data from the patient's map can be represented in an arbitrary form using a powerful and adjustable statement mechanism. Creating extracts occurs automatically and frees users from long-term information collection work - a few seconds, and you get a finished discharge in the form of a document Microsoft Word..

The most convenient work with disability leaves

Working with disability sheets of a new sample (approved by Order No. 347n dated January 26, 2011) in Medwork as simple as possible and intuitively understandable. In the patient's card, a document "disability leaveka" is inserted, Medwork itself fills most of the leaflettes of the data sheet from the database or templates. The verified data from MedWork is imprinted in a temporary disability sheet form. Data on all issued disability leaves are saved in MedWork.

Statistical reports in all directions of activity

MEDWORK allows you to get any statistical reports for any time: on therapeutic work, methods of receptions, morbidity, various financial reports, etc. Creating a new report does not require additional programming and is executed using a special master included in MedWork. Open format Data makes it possible to access a system from any known report generators.

Convenient Patient Reception Planning

Users in interactive mode can create a variety of queues, lists of patients for directions to other jobs. A simple and convenient interface of working with patient groups makes it possible to plan a schedule of receptions at any workplace, from the procedural office before planning and accounting operating lists

Setting and developing the system in the process of work by medical institution specialists

MEDWORK provides ample settings and can work in any medical institution. Concepts such as departments, lists-queues, groups of users allow you to flexibly describe the structure of the clinic and the patient's passage technology at various stages of therapeutic process.

Editing and replenishing the library of introductory forms, extracts and reports using a convenient and powerful editor, as well as changes in the database structure, you can do during the work and does not require special qualifications. Open system architecture makes it possible to connect to it software modulesdeveloped by users, which makes it possible to functionally expand the system as the clinic expands or the introduction of new treatment schemes.

Architecture Mis

Medical Medical Information Systems is a comprehensive solution.

The key concept of the system is the profile. For example, the profile is registry, reception office, postponement nurse, procedural nurse, .... etc. In total, more than 60 profiles for different types of medical institutions have been developed in the framework of the typical configuration (full supply of the system). All profiles are available for use. Profile set forms a configuration. Examples of configurations - typical (full), hospital, polyclinic, private clinic, dialysis, eco-clinic, etc. Customers can easily refine and develop profiles and configurations under their needs without loss of data integrity.

Choice of profile MIS.

Key functionality

"Electronic Medical Card"

"Electronic Medical Card" (EMK) is a convenient automated outpatient map of the patient or (for hospitals) an electronic history of the disease. EMK meets the requirements of the State Standard "Electronic History of Disease" (GOST R 52636-2006).

Installed on the workplace medical professionals Different profile: doctor, medical sister, laboratory assistant, heads of different levels of a medical institution, as well as everywhere where there is a need to make information into the patient's card.

Brief list of features:

• Provides users with the ability to quickly and conveniently make information about the patient.
• Provides security access to EMK, taking into account the rights of users' access to medical information approved in a medical institution.
• Allows you to view the EMK patient and quickly find the necessary information in large amounts of medical records.
• It makes it possible to form various extracts, certificates, epicrises, epicrises, printing them on the basis of EMC, and store a copy of these documents.
• Provides the opportunity to clearly view medical data on the patient: diagnoses, destination sheet, build various graphs, etc.
• Allows you to configure convenient protocols for doctors of any specialties.
• It makes it possible to attach various documents to EMC, such as voice messages.
• Allows electronic form to transmit its EMK to the patient on various media in the format available for viewing on any computer.
• It is closely integrated with almost all MEDWORK system modules: Accounting for services, pharmacy, kainy fund, image processing by others.

Opportunities and advantages

Fast filling out of an outpatient map and disease history

Entering surveys, results of analyzes and other medical information is made by creating records of various profiles specifically designed for doctors of different specialties: therapeutors, ophthalmologists, surgeons, cardiologists, pulmonologists, etc.

EMK / Electronic History History comes with already ready forms of input, developed jointly with doctors and debugged the use of the system in medical institutions for many years.

The system provides tools intended to speed up the set of text information:

• Contextual directoriesattached to the input fields and contain frequently used terms and phrases. The hierarchical structure of reference books allows you to automatically design long phrases. The standard EMK supply includes many ready-made reference books that can be expanded independently.
• Mode searchallows you to quickly find the right terms in the directory.
• Tool templatesallows you to copy data from previous illness history records, and also facilitates the input of the same type of information (operations protocols, medical examinations, etc.).

Enter heterogeneous information

EMK / Electronic Medical Disease History offers a physicial arsenal of data entry tools adapted for a variety of information species.

The program provides for the capabilities of typed input, that is, filling out fields of textual, numerical, logical types, lists and dates, which in turn provide additional features When collecting statistics and build graphs. The scheme editor allows you to make graphic marks and drawings, for example, in the image of the cornea of \u200b\u200bthe eye. EMK can be placed images in any of the most common formats.

Data entry tools are diverse. They can be universal, highly specialized, with elementary or complex logic of behavior. The open architecture of the program allows you to constantly expand and improve the set of such objects.

Flexible Setup Database Structure and Input Interface

The data can be administered not only quickly, but also in full compliance with the professional needs of the specialist.

The standard set of screen forms included in the Medwork Medical Information System can be easily changed and expanded through the use. built-in editor forms. Using this convenient tool, the user creates new forms and input fields, changes appearance The desktop and the configuration of the main interface objects. Thus, you can reflect new types of research at any time in the system or optimize the maintenance of an electronic medical card without resorting to the help of developers.

Switching between data entry mode and input form editing mode is performed instantly, but can be blocked to protect against unqualified use.

It is also possible to change the database structure. In the tables, you can add fields of different types, storage formats change and

Comfortable and quick search for patient information

EMK / The electronic history of the medical information system Medwork was designed in such a way that not only the input, but also the next view and analyzing data were convenient, visual and informative, and any information stored in the MedWork database was easily accessible to the user.

An important tool for viewing a medical card is an object "Extract"reflecting the main indicators of the patient's health status, the development of the disease, appointed treatment courses and allowing you to quickly go to any dossier screen.

An object "Sheet of appointments" Shows when and what medicines were spelled out by the patient, for what time and what medicines were canceled early.
Another interesting feature of the system is the ability to analyze with graphs Change any numeric parameters in time.

Handbook of MKB-10

EMK / Electronic medical history contains a reference book "International Classification of 10th Review Diseases", which is used to make diagnoses in standardized form.

It is possible to formulate your own diagnosis and tie it with the "official" diagnosis on the ICD, as well as many other useful functions.

For example, a doctor can find some diagnosis in the ICD keyword, MEDWORK will transfer it to english Using the English version of the ICD and execute a request in the medical database MEDLINE On the Internet to search for articles on this topic.

Directory Vidal®

The destination tool is implemented on the basis of the interaction of the MedWork system and the built-in database of the electronic reference book VIDAL®

Formation of documents for printing

Creating documents of different types (Reports, letters, extracts, conclusions) is the daily work of the doctor. The EMK / electronic history of MedWork's disease is provided tools that significantly facilitate this process, and also ensure reliable archiving of all documentation in electronic form.

The card of each patient contains a set of documents sorted by category and equipped with special descriptors. The simplicity of classification allows doctors to quickly find the necessary documents in the archive.

Working with texts can be carried out either by built-in text editoror S. using Microsoft. Word ®.

Data can be copied from a patient map directly to the document.
Letters and other standard documents can be created automatically based on pre-prepared templates. In templates, you can add fields from the electronic medical card, which are filled with real data in the process of generating the letter. Documents created by templates are automatically attached to the map and can be edited manually.

Additional automation capabilities

Integration with laboratory and other systems

Integration with laboratory systems significantly increases the performance of the laboratory and increases it throughput. The presence in the system of the laboratory module reduces the costs of a medical institution for automation, providing the possibility of using a unified information system in both therapeutic and diagnostic units without the need to integrate heterogeneous software products.

The call-center will automate the operation of registries, reception, doctors and other units with incoming calls, as well as systematize the information obtained. Based on the indicators received as a result of the Call Center, the KC administration will be able to:

• evaluate the various aspects of their activities, for example, the effectiveness of advertising campaigns and the dynamics of demand for medical services provided,
• optimize the works of various divisions,
• determine the profitability of existing directions,
• determine the promising directions for the further development of the CCC.

Integration of MIS with other application systems can be ensured, for example: an accounting system, frame, warehouse, etc.

Personal plastic cards

Personal plastic cards can be used in various processes, both patients and employees. For example, using universal plastic cards can be identified by users in the system, preventing unauthorized access, identification of patients in the reception or the ability to use plastic card As an "e-wallet".

Work at a distance with the work of the medical institution through the Medihost.ru portal.

The possibility of remote work with the work schedule of doctors and cabinets through the portal www.medihost.ru allows you to:

• an employee - to work remotely with the system, including with an electronic patient's electronic medical card or consulting mode;
• patient - remotely sign up for reception to a specialist, learn the results of its analyzes, etc.

Additional information services also allow you to improve the efficiency of the LPU network and patient satisfaction. Among such services, you can consider the following features:

Deploying an information portal that allows:

• Inform patients about news
• Patients remotely receive the necessary information (for example, find out the results of your analyzes)
• Allow patients to remotely interact with the LPU network (for example, make an appointment with a doctor or cancel the record, contact the registry officer using the instant messaging service)