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М.А.Шифрин НИИ Нейрохирургии им. Н.Н.Бурденко РАМН

Жизнь после смерти, или о технологии перехода к новой медицинской информационной системе с помощью интеграционной платформы. М.А.Шифрин НИИ Нейрохирургии им. Н.Н.Бурденко РАМН. Москва 15 сентября 2009 г. Симпозиум InterSystems.

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М.А.Шифрин НИИ Нейрохирургии им. Н.Н.Бурденко РАМН

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  1. Жизнь после смерти, илио технологии перехода к новой медицинской информационной системе с помощью интеграционной платформы М.А.Шифрин НИИ Нейрохирургии им. Н.Н.Бурденко РАМН Москва 15 сентября 2009 г. Симпозиум InterSystems

  2. Life After Death,or on Technology of Transition to a New Medical Information System Using Integration Platform M.Shifrin N.N.Burdenko Neurosurgical Institute Moscow 15SEptember, 2009 InterSystems Symposium

  3. N.N.Burdenko Neurosurgical Institute (R&D)of Russian Academy of Medical Sciences • Established in 1932 • Now: new surgical building (1999) • 300 neurosurgery beds • 40 beds in ICU • 14 operating rooms • Radio surgery department • Neurorehabilitation department • Full set of diagnostic and laboratory equipment • ~5500 admissions/year • Out-patient department

  4. Electronic Patient Record Sysytem2000 - 2009 • 1 workplace ~ 400 • 5 users ~ 600 • 1 user function ~ 150, supporting about 90% everyday clinical activity • A single interruption of the work of the system, all critical functions were running • A single breakdown which halted a system for 24 hours

  5. Evolutionary development (1) “spatial” “cognitive” “functional”

  6. Evolutionary development(2) “Spatial” dimension: • 1 working place ~ 400 • 4 users ~ 600 “Functional” dimension: • 1 function (admission/discharge) ~ 130 “Cognitive” dimension: • free text  adequate formalization

  7. What next?

  8. Following Hamburg score…

  9. "Inborn defects" Transition to industrial system

  10. Objective difficulties Integration

  11. Transition Difficulties Transition platform

  12. Industrial system+ Integration+ Transition platform Integration platform

  13. EPR Old Other systems Integration platform

  14. EPR Old New Other systems Integration platform

  15. EPR Old New Other systems Integration platform

  16. EPR Old New Other systems Integration platform

  17. Advantages • Smooth transition without halting business processes • Permanent development • "Best of Breed" • Creating of integrated information environment

  18. Last but not least • A hope not to meet transition problem in 10 years – • transition will be permanent • Transition to a new integration platform - • the problem for the supplier 

  19. Difficulties • As far as they appear…

  20. e-med HUB - MPI «Parus» PACS IS «Radiology treatment» New services of the EPR LIS HSC Pilot project

  21. Pilot project: e-Med – TrakCare Lab EPR LIS e-med Orders Orders Results Results Ensemble Buffer DB (MS SQL) Laboratory devices TrakCare Lab

  22. Thank you for your attention! shifrin@nsi.ru

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