Medical Informatics
Research Article
Architecture of interaction in the digital medical ecosystem
Vladimir Leonidovich Malykh1
, Aleksey Nikolayevich Kalinin2, Aleksey Nikolayevich Rudetsky3
| 1-3 | Ailamazyan Program Systems Institute of RAS, Ves'kovo, Russia |
| 1 |
mvl@interin.ru |
Abstract. In the field of medical informatics, there is a steady trend towards the formation of a complex multicomponent ecosystem. The problems of interaction and integration of ecosystem components come to the forefront: medical, laboratory, radiological systems, EGISZ, EMIAS, MDLP, various registers and services, including those implementing AI approaches to data processing and problem solving. Patients are in dire need of personal offices that integrate their medical data, patients become active participants in the ecosystem. Integration tasks have to be solved in a highly heterogeneous information environment, when it becomes unattainable to ensure synchronous interactive interaction between ecosystem participants. For individual applications, a flexible combination of both synchronous and asynchronous interaction is required, selected situationally based on specific time delays and interaction characteristics.
The article proposes a special architecture that allows for synchronous and asynchronous interaction between ecosystem participants. Adapting software designed only for synchronous interaction to an asynchronous architecture does not require a radical redesign of the software. The approach was worked out using the example of adapting the MDLP MIS Interin module to work in the internal secure network of the multidisciplinary medical center of the Bank of Russia. The proposed architecture can be used by software developers in other fields of activity, where there is an active development of ecosystems, accompanied by an increase in integration interactions. (In Russian).
Keywords: medical informatics, medical information systems, digital ecosystem, integration, asynchronous interaction, patient's personal office
MSC-2020
94-04; 68P05; 92C50
Acknowledgments: The authors are sincerely grateful to Komarov S.I. for his interest in the work and constructive criticism, which allowed us to improve the article
For citation: Vladimir L. Malykh, Aleksey N. Kalinin, Aleksey N. Rudetsky. Architecture of interaction in the digital medical ecosystem. Program Systems: Theory and Applications, 2024, 15:2, pp. 475–492. (In Russ.). https://psta.psiras.ru/2024/2_475-492.
Full text of article (PDF): https://psta.psiras.ru/read/psta2024_2_475-492.pdf.
The article was submitted 22.02.2024; approved after reviewing 08.04.2024; accepted for publication 16.05.2024; published online 29.06.2024.
