{"id":41086,"date":"2020-02-05T21:30:21","date_gmt":"2020-02-05T18:30:21","guid":{"rendered":"https:\/\/prohoster.info\/blog\/blog_prohoster\/globalnaya-informatika-v-zdravoohranenii-oblachnye-tehnologii"},"modified":"2020-02-05T21:30:21","modified_gmt":"2020-02-05T18:30:21","slug":"globalnaya-informatika-v-zdravoohranenii-oblachnye-tehnologii","status":"publish","type":"post","link":"https:\/\/prohoster.info\/cs\/blog\/globalnaya-informatika-v-zdravoohranenii-oblachnye-tehnologii","title":{"rendered":"Glob\u00e1ln\u00ed informatika ve zdravotnictv\u00ed: cloudov\u00e9 technologie","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p>Sektor zdravotn\u00edch slu\u017eeb postupn\u011b, ale docela rychle adaptuje technologie cloudov\u00e9ho v\u00fdpo\u010dtu na sv\u00e9 odv\u011btv\u00ed. D\u011bje se tak proto, \u017ee modern\u00ed sv\u011btov\u00e1 medic\u00edna, dr\u017e\u00edc\u00ed se hlavn\u00edho c\u00edle \u2014 orientace na pacienta \u2014 formuluje kl\u00ed\u010dov\u00fd po\u017eadavek na zvy\u0161ov\u00e1n\u00ed kvality zdravotn\u00edch slu\u017eeb a zlep\u0161en\u00ed klinick\u00fdch v\u00fdsledk\u016f (a tedy i na zlep\u0161en\u00ed kvality \u017eivota konkr\u00e9tn\u00edho \u010dlov\u011bka a jej\u00ed prodlou\u017een\u00ed): rychl\u00fd p\u0159\u00edstup k informac\u00edm o pacientovi bez ohledu na to, kde se nach\u00e1z\u00ed on a l\u00e9ka\u0159. Dnes jen cloudov\u00e9 technologie maj\u00ed v\u00fdznamn\u00fd potenci\u00e1l k uspokojen\u00ed t\u00e9to pot\u0159eby. <\/p>\n<p>Nap\u0159\u00edklad \u010del\u00ed nal\u00e9hav\u00e9mu koronaviru <noindex><a rel=\"nofollow\" href=\"https:\/\/ru.wikipedia.org\/wiki\/2019-nCoV\">2019-nCoV<\/a><\/noindex> pom\u00e1h\u00e1 rychlost zve\u0159ejn\u011bn\u00ed informac\u00ed o p\u0159\u00edpadech onemocn\u011bn\u00ed a v\u00fdsledc\u00edch v\u00fdzkum\u016f, kterou \u010c\u00edna poskytuje, a kter\u00e1 nebyla v posledn\u00ed \u0159ad\u011b mo\u017en\u00e1 d\u00edky modern\u00edm informa\u010dn\u00edm technologi\u00edm, v\u010detn\u011b cloudov\u00fdch. Porovnejte: pro potvrzen\u00ed epidemie (a tedy pro z\u00edsk\u00e1n\u00ed a anal\u00fdzu dat o zdravotn\u00edm stavu lid\u00ed, studium viru po ur\u010ditou dobu) <noindex><a rel=\"nofollow\" href=\"https:\/\/ru.wikipedia.org\/wiki\/%D0%A2%D1%8F%D0%B6%D1%91%D0%BB%D1%8B%D0%B9_%D0%BE%D1%81%D1%82%D1%80%D1%8B%D0%B9_%D1%80%D0%B5%D1%81%D0%BF%D0%B8%D1%80%D0%B0%D1%82%D0%BE%D1%80%D0%BD%D1%8B%D0%B9_%D1%81%D0%B8%D0%BD%D0%B4%D1%80%D0%BE%D0%BC\">atypick\u00e9 pneumonie<\/a><\/noindex>, zp\u016fsoben\u00e9 virem SARS, pot\u0159ebovala \u010c\u00edna v roce 2002 <noindex><a rel=\"nofollow\" href=\"https:\/\/www.information-age.com\/technology-help-fight-the-coronavirus-123487520\/\">bylo zapot\u0159eb\u00ed<\/a><\/noindex> asi osm m\u011bs\u00edc\u016f! Tentokr\u00e1t byly ofici\u00e1ln\u00ed informace z\u00edsk\u00e1ny Sv\u011btovou zdravotnickou organizac\u00ed okam\u017eit\u011b \u2013 b\u011bhem sedmi dn\u00ed. \u201eS pot\u011b\u0161en\u00edm si v\u0161\u00edm\u00e1me v\u00e1\u017en\u00e9ho p\u0159\u00edstupu \u010c\u00edny k t\u00e9to epidemii\u2026 v\u010detn\u011b poskytov\u00e1n\u00ed dat a v\u00fdsledk\u016f genetick\u00e9ho sekvenov\u00e1n\u00ed viru\u201c \u2013 <noindex><a rel=\"nofollow\" href=\"https:\/\/www.who.int\/ru\/news-room\/detail\/28-01-2020-who-china-leaders-discuss-next-steps-in-battle-against-coronavirus-outbreak\">prohl\u00e1sil<\/a><\/noindex> gener\u00e1ln\u00ed \u0159editel WHO Tedros Adhanom Ghebreyesus na setk\u00e1n\u00ed s p\u0159edsedou \u010cLR Si \u0164in-pchingem. Pod\u00edvejme se, jak\u00fd potenci\u00e1l maj\u00ed \u201eoblaka\u201c v medic\u00edn\u011b a pro\u010d.<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/company\/ruvds\/blog\/486804\/\"><img decoding=\"async\" alt=\"Glob\u00e1ln\u00ed informatika ve zdravotnictv\u00ed: cloudov\u00e9 technologie\" src=\"\/wp-content\/uploads\/2020\/02\/a7ef2b60b46408fecd0ac851babd591c.png\" style=\"display:block;margin: 0 auto;\" \/><\/a><\/noindex><noindex><a rel=\"nofollow\" name=\"habracut\"><\/a><\/noindex><\/p>\n<h2>Probl\u00e9my zdravotn\u00edch dat<\/h2>\n<p><\/p>\n<h3>\u258dObjemy<\/h3>\n<p>\nObrovsk\u00e9 objemy dat, se kter\u00fdmi v\u017edy pracovala medic\u00edna, se dnes prom\u011b\u0148uj\u00ed v obrovsk\u00e9. Sem pat\u0159\u00ed nejen zdravotn\u00ed z\u00e1znamy, ale tak\u00e9 souhrnn\u00e9 klinick\u00e9 a v\u00fdzkumn\u00e9 \u00fadaje z r\u016fzn\u00fdch oblast\u00ed medic\u00edny, a nov\u00e9 l\u00e9ka\u0159sk\u00e9 znalosti, kter\u00e9 se roz\u0161i\u0159uj\u00ed geometrickou \u0159adou: doba jejich zdvojen\u00ed byla p\u0159ibli\u017en\u011b p\u0159ed 50 lety v roce 1950; zrychlila se na 7 let v roce 1980; 3,5 roku byla v roce 2010 a v roce 2020 se p\u0159edpokl\u00e1d\u00e1 zdvojen\u00ed b\u011bhem 73 dn\u00ed (podle <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3116346\">v\u00fdzkum z roku 2011 o operac\u00edch Klinick\u00e9 a klimatologick\u00e9 asociace Ameriky<\/a><\/noindex>).\u00a0<\/p>\n<p>Zde je jen n\u011bkolik d\u016fvod\u016f pro glob\u00e1ln\u00ed n\u00e1r\u016fst dat:<\/p>\n<ul>\n<li>Rozvoj v\u011bdy a jako d\u016fsledek zv\u00fd\u0161en\u00ed objem\u016f a zjednodu\u0161en\u00ed zp\u016fsob\u016f publikace nov\u00fdch v\u011bdeck\u00fdch materi\u00e1l\u016f.<\/li>\n<li>Mobilita pacient\u016f a nov\u00e9 mobiln\u00ed zp\u016fsoby sb\u011bru dat (mobiln\u00ed za\u0159\u00edzen\u00ed pro diagnostiku a monitorov\u00e1n\u00ed jako nov\u00e9 zdroje statistick\u00fdch dat).<\/li>\n<li>Zvy\u0161uj\u00edc\u00ed se d\u00e9lka \u017eivota a jako d\u016fsledek zvy\u0161uj\u00edc\u00ed se po\u010det \u201est\u00e1rnouc\u00edch pacient\u016f\u201c.<\/li>\n<li>Zvy\u0161uj\u00edc\u00ed se po\u010det mlad\u00fdch pacient\u016f, kter\u00e9 p\u0159itahuje modern\u00ed sv\u011btov\u00e1 propaganda zdrav\u00e9ho \u017eivotn\u00edho stylu a preventivn\u00ed medic\u00edna (d\u0159\u00edve mlad\u00ed chodili k l\u00e9ka\u0159\u016fm pouze, kdy\u017e skute\u010dn\u011b onemocn\u011bli).<\/li>\n<\/ul>\n<p><\/p>\n<h3>\u258dDostupnost<\/h3>\n<p>\nD\u0159\u00edve klinici vyu\u017e\u00edvali n\u011bkolik zdroj\u016f informac\u00ed \u2013 od standardn\u00edch vyhled\u00e1va\u010d\u016f, kde m\u016f\u017ee b\u00fdt obsah nespolehliv\u00fd, po ti\u0161t\u011bn\u00e9 \u010dasopisy a knihy v l\u00e9ka\u0159sk\u00e9 knihovn\u011b, na jejich\u017e vyhled\u00e1n\u00ed a p\u0159e\u010dten\u00ed byla pot\u0159eba doba. Co se t\u00fd\u010de zdravotn\u00edch z\u00e1znam\u016f a v\u00fdsledk\u016f anal\u00fdz pacient\u016f ve st\u00e1tn\u00edch a soukrom\u00fdch klinik\u00e1ch a nemocnic\u00edch, v\u00edme, \u017ee dodnes se v ka\u017ed\u00e9m takov\u00e9m zdravotnick\u00e9m za\u0159\u00edzen\u00ed zakl\u00e1d\u00e1 fyzick\u00e1 karta pacienta, do kter\u00e9 l\u00e9ka\u0159i ru\u010dn\u011b vkl\u00e1daj\u00ed informace a p\u0159ilepuj\u00ed pap\u00edry s v\u00fdsledky vy\u0161et\u0159en\u00ed. Pap\u00edrov\u00e9 archivy se tak\u00e9 neztratily. A ta \u010d\u00e1st informac\u00ed o pacientovi, kter\u00e1 je zaznamen\u00e1na digit\u00e1ln\u011b, je ulo\u017eena na lok\u00e1ln\u00edch serverech uvnit\u0159 zdravotnick\u00e9ho za\u0159\u00edzen\u00ed. Proto je p\u0159\u00edstup k t\u011bmto informac\u00edm mo\u017en\u00fd pouze lok\u00e1ln\u011b (plus vysok\u00e9 n\u00e1klady na zaveden\u00ed, podporu a \u00fadr\u017ebu takov\u00e9ho \u201ekrabicov\u00e9ho\u201c syst\u00e9mu).<\/p>\n<h2>Jak aplikace cloudov\u00fdch technologi\u00ed m\u011bn\u00ed zdravotnictv\u00ed k lep\u0161\u00edmu<\/h2>\n<p>\nV\u00fdm\u011bna informac\u00ed mezi zdravotnick\u00fdmi odborn\u00edky o pacientovi se st\u00e1v\u00e1 operativn\u011bj\u0161\u00ed. V\u0161echna data o pacientovi se zapisuj\u00ed do jeho <noindex><a rel=\"nofollow\" href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/electronic-health-record\">elektronick\u00e9ho zdravotn\u00edho z\u00e1znamu<\/a><\/noindex>, kter\u00e1 se uchov\u00e1v\u00e1 na vzd\u00e1len\u00e9m serveru v cloudu: historie nemoc\u00ed; p\u0159esn\u00e9 daty a povaha \u00faraz\u016f, projevy nemoc\u00ed a o\u010dkov\u00e1n\u00ed (a ne zmatek podle v\u00fdpov\u011bdi pacienta, kter\u00fd se s l\u00e9ty objevuje \u2014 co\u017e je extr\u00e9mn\u011b d\u016fle\u017eit\u00e9 pro diagnostiku, progn\u00f3zu l\u00e9\u010dby, p\u0159edpov\u011b\u010f rizik nemoc\u00ed pro potomky); r\u016fzn\u00e9 sn\u00edmky (rentgenov\u00e9, CT, MRI, fotografie atd.); v\u00fdsledky anal\u00fdz; kardiogramy; \u00fadaje o l\u00e9c\u00edch; videonahr\u00e1vky chirurgick\u00fdch z\u00e1krok\u016f a jak\u00e9koli dal\u0161\u00ed klinick\u00e9 a administrativn\u00ed informace. P\u0159\u00edstup k t\u011bmto osobn\u00edm, chr\u00e1n\u011bn\u00fdm dat\u016fm z\u00edsk\u00e1vaj\u00ed autorizovan\u00ed zdravotn\u00edci v r\u016fzn\u00fdch klinik\u00e1ch. To umo\u017e\u0148uje optimalizovat pracovn\u00ed proces klinick\u00e9ho l\u00e9ka\u0159e, stanovit p\u0159esn\u011bj\u0161\u00ed a rychlej\u0161\u00ed diagn\u00f3zy, pl\u00e1novat spr\u00e1vn\u011bj\u0161\u00ed a, co\u017e je d\u016fle\u017eit\u00e9, v\u010dasnou l\u00e9\u010dbu.<\/p>\n<p><img decoding=\"async\" alt=\"Glob\u00e1ln\u00ed informatika ve zdravotnictv\u00ed: cloudov\u00e9 technologie\" src=\"\/wp-content\/uploads\/2020\/02\/f3f38fb4d71f63956acdb6baac3db6c7.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<i>Elektronick\u00e1 zdravotn\u00ed karta<\/i><\/p>\n<p>St\u00e1v\u00e1 se mo\u017en\u00fdm okam\u017eit\u00e1 v\u00fdm\u011bna informac\u00ed mezi r\u016fzn\u00fdmi zdravotnick\u00fdmi organizacemi. Tato spolupr\u00e1ce zahrnuje jak v\u00fdzkumn\u00e9 laborato\u0159e, tak farmaceutick\u00e9 spole\u010dnosti s r\u016fzn\u00fdmi zdravotnick\u00fdmi za\u0159\u00edzen\u00edmi (dostupnost l\u00e9\u010div), a nemocnice s poliklinikami.\u00a0<\/p>\n<p>Objevuje se c\u00edlen\u00e1 (personalizovan\u00e1) preventivn\u00ed medic\u00edna. Zejm\u00e9na d\u00edky technologi\u00edm um\u011bl\u00e9 inteligence, kter\u00e9 nelze vyu\u017e\u00edvat ve v\u011bt\u0161in\u011b zdravotnick\u00fdch za\u0159\u00edzen\u00ed kv\u016fli n\u00e1ro\u010dnosti jejich v\u00fdpo\u010detn\u00edch po\u017eadavk\u016f, ale v cloudu \u2014 <noindex><a rel=\"nofollow\" href=\"https:\/\/www.osp.ru\/medit\/2019\/02\/13054738.html\">mo\u017en\u00e9<\/a><\/noindex>.\u00a0<\/p>\n<p>Automatizace l\u00e9\u010debn\u00e9ho procesu zkracuje \u010dasov\u00e9 n\u00e1klady. Elektronick\u00e9 zdravotn\u00ed karty a <noindex><a rel=\"nofollow\" href=\"https:\/\/fss.ru\/ru\/fund\/disabilitylist\/index.shtml\">nemocni\u010dn\u00ed<\/a><\/noindex>, elektronick\u00fd fronta a d\u00e1lkov\u00e9 z\u00edsk\u00e1v\u00e1n\u00ed v\u00fdsledk\u016f anal\u00fdz, elektronick\u00fd syst\u00e9m soci\u00e1ln\u00edho poji\u0161t\u011bn\u00ed a zdravotn\u00ed archiv, <noindex><a rel=\"nofollow\" href=\"https:\/\/www.dirklinik.ru\/article\/379-tsifrovaya-stomatologiya-vozmojnosti-novyh-tehnologiy\">elektronick\u00e1 stomatologie<\/a><\/noindex> a <noindex><a rel=\"nofollow\" href=\"http:\/\/xn----7sbbpccwamipjahf5a7a6fxf1b.xn--p1ai\/solutions\/laboratoriya\">laborato\u0159<\/a><\/noindex> \u2014 to v\u0161echno umo\u017e\u0148uje l\u00e9ka\u0159sk\u00fdm pracovn\u00edk\u016fm se zbavit pap\u00edrov\u00e1n\u00ed a dal\u0161\u00ed rutiny, abychom mohli v\u011bnovat maximum pracovn\u00edho \u010dasu p\u0159\u00edmo probl\u00e9m\u016fm pacienta.\u00a0<\/p>\n<p>Existuje mo\u017enost v\u00fdrazn\u011b \u0161et\u0159it na infrastruktu\u0159e, a to a\u017e po \u00faplnou absenci jak\u00fdchkoli investic do n\u00ed. Modely \"infrastruktura jako slu\u017eba\" (IaaS) a \"software jako slu\u017eba\" (SaaS), kter\u00e9 nab\u00edzej\u00ed poskytovatel\u00e9 cloudov\u00fdch slu\u017eeb, umo\u017e\u0148uj\u00ed nahradit n\u00e1kladn\u00fd n\u00e1kup softwaru a obrovsk\u00e9 investice do infrastruktury zdravotnick\u00fdch za\u0159\u00edzen\u00ed pron\u00e1jmem t\u011bchto model\u016f a p\u0159\u00edstupem k nim p\u0159es internet. Nav\u00edc se plat\u00ed pouze za ty serverov\u00e9 zdroje, kter\u00e9 organizace skute\u010dn\u011b vyu\u017e\u00edv\u00e1, a v p\u0159\u00edpad\u011b pot\u0159eby m\u016f\u017ee zv\u00fd\u0161it v\u00fdkon nebo objem \u00falo\u017ei\u0161t\u011b. Vyu\u017eit\u00ed cloudov\u00fdch technologi\u00ed spolu s technickou podporou poskytovatele cloudov\u00fdch slu\u017eeb umo\u017e\u0148uje zdravotnick\u00fdm podnik\u016fm v\u00fdrazn\u011b \u0161et\u0159it na n\u00e1kladech na IT person\u00e1l, nebo\u0165 nen\u00ed t\u0159eba udr\u017eovat vlastn\u00ed infrastrukturu pro ukl\u00e1d\u00e1n\u00ed dat.<\/p>\n<p>Bezpe\u010dnost se dost\u00e1v\u00e1 na novou \u00farove\u0148. Odolnost v\u016f\u010di v\u00fdpadk\u016fm, obnova dat a d\u016fv\u011brnost se staly mo\u017en\u00e9 d\u00edky r\u016fzn\u00fdm technologi\u00edm (z\u00e1lohov\u00e1n\u00ed, end-to-end \u0161ifrov\u00e1n\u00ed, havarijn\u00ed obnova atd.), kter\u00e9 p\u0159i tradi\u010dn\u00edm p\u0159\u00edstupu vy\u017eaduj\u00ed obrovsk\u00e9 n\u00e1klady (v\u010detn\u011b n\u00e1klad\u016f na opravu chyb nekompetentn\u00edch zam\u011bstnanc\u016f v t\u00e9to IT oblasti) nebo jsou zcela nemo\u017en\u00e9, av\u0161ak p\u0159i <noindex><a rel=\"nofollow\" href=\"https:\/\/ruvds.com\/ru-rub#order\">pron\u00e1jmu cloudov\u00fdch kapacit<\/a><\/noindex> jsou sou\u010d\u00e1st\u00ed bal\u00ed\u010dku slu\u017eeb od poskytovatele (kde se o ot\u00e1zky bezpe\u010dnosti staraj\u00ed profesion\u00e1lov\u00e9, kte\u0159\u00ed zaru\u010duj\u00ed ur\u010dit\u00fd, pom\u011brn\u011b vysok\u00fd \u00farove\u0148 zabezpe\u010den\u00ed).\u00a0<\/p>\n<p>Je mo\u017en\u00e9 z\u00edskat kvalitn\u00ed l\u00e9ka\u0159sk\u00e9 konzultace, ani\u017e byste vy\u0161li z domova: telemedic\u00edna. Vzd\u00e1len\u00e9 konzultace zalo\u017een\u00e9 na elektronick\u00fdch \u00fadaj\u00edch o pacientech ulo\u017een\u00fdch v cloudu se ji\u017e objevuj\u00ed. O\u010dek\u00e1v\u00e1 se, \u017ee s rozvojem implementace cloud computingu ve zdravotnictv\u00ed se telekonzultace stanou budoucnost\u00ed l\u00e9ka\u0159sk\u00e9ho sektoru. Trh telemedic\u00edny v\u00fdrazn\u011b vzrostl v posledn\u00edch letech. K roku 2015 byl glob\u00e1ln\u00ed trh telemedic\u00edny odhadov\u00e1n na 18 miliard dolar\u016f a o\u010dek\u00e1v\u00e1 se, \u017ee do roku 2021 jeho hodnota p\u0159ekro\u010d\u00ed 41 miliard dolar\u016f. Mnoho faktor\u016f p\u0159isp\u011blo k r\u016fstu trhu, v\u010detn\u011b zvy\u0161uj\u00edc\u00edch se n\u00e1klad\u016f na tradi\u010dn\u00ed l\u00e9ka\u0159sk\u00e9 slu\u017eby, financov\u00e1n\u00ed telemedic\u00edny a rostouc\u00edho po\u010dtu u\u017eivatel\u016f digit\u00e1ln\u00edho zdrav\u00ed. Telemedic\u00edna je zvl\u00e1\u0161t\u011b d\u016fle\u017eit\u00e1 pro osoby se zdravotn\u00edm posti\u017een\u00edm a nav\u00edc v\u00fdrazn\u011b sni\u017euje z\u00e1t\u011b\u017e na zdravotnick\u00e1 za\u0159\u00edzen\u00ed a kliniky. P\u0159itom nikdo se nezbavuje \"\u017eiv\u00e9ho\" l\u00e9ka\u0159e: nap\u0159\u00edklad aplikace jako britsk\u00e1 cloudov\u00e1 slu\u017eba <noindex><a rel=\"nofollow\" href=\"https:\/\/ada.com\/\">Ada<\/a><\/noindex>, kter\u00e1 funguje na b\u00e1zi AI (o kter\u00e9 bude n\u00ed\u017ee \u0159e\u010d), je schopn\u00e1 vyzpov\u00eddat pacienta o jeho p\u0159\u00edznac\u00edch, analyzovat v\u00fdsledky test\u016f a poskytnout doporu\u010den\u00ed (v\u010detn\u011b toho, jak\u00e9ho specialistu, kdy a s jak\u00fdmi ot\u00e1zkami by m\u011bl nav\u0161t\u00edvit).\u00a0<\/p>\n<p><img decoding=\"async\" alt=\"Glob\u00e1ln\u00ed informatika ve zdravotnictv\u00ed: cloudov\u00e9 technologie\" src=\"\/wp-content\/uploads\/2020\/02\/6ec44b28ce0e2df1a05644bfc920d53d.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<i>Objem sv\u011btov\u00e9ho trhu telemedic\u00edny v letech 2015 a\u017e 2021 (v miliard\u00e1ch dolar\u016f)<\/i><\/p>\n<p>Urgentn\u00ed spole\u010dn\u00e1 l\u00e9ka\u0159sk\u00e1 \u0159e\u0161en\u00ed se st\u00e1vaj\u00ed realitou. Velk\u00fdm pr\u016flomem v operativn\u00ed chirurgii se stalo videokonferen\u010dn\u00ed spojen\u00ed v re\u00e1ln\u00e9m \u010dase pomoc\u00ed mobiln\u00edch aplikac\u00ed. Je t\u011b\u017ek\u00e9 p\u0159ece\u0148ovat mo\u017enost konzilia siln\u00fdch l\u00e9ka\u0159\u016f v nouzov\u00e9 situaci b\u011bhem operace, kte\u0159\u00ed se nach\u00e1zej\u00ed na r\u016fzn\u00fdch konc\u00edch sv\u011bta. Podobn\u011b je obt\u00ed\u017en\u00e9 si p\u0159edstavit plynul\u00e9 konzilium bez zdroj\u016f cloudov\u00fdch technologi\u00ed.\u00a0<\/p>\n<p>Analytika se st\u00e1v\u00e1 p\u0159esn\u011bj\u0161\u00ed. Mo\u017enost spojovat elektronick\u00e9 karty a archivy s \u00fadaji o pacientech s cloudov\u00fdmi analytick\u00fdmi syst\u00e9my umo\u017e\u0148uje zv\u00fd\u0161it mno\u017estv\u00ed a zlep\u0161it kvalitu prov\u00e1d\u011bn\u00fdch v\u00fdzkum\u016f. To je obzvl\u00e1\u0161\u0165 d\u016fle\u017eit\u00e9 v r\u016fzn\u00fdch medic\u00ednsk\u00fdch a biologick\u00fdch oblastech, zejm\u00e9na v oblasti genetick\u00e9ho v\u00fdzkumu, kter\u00fd byl v\u017edy obt\u00ed\u017en\u00e9 prov\u00e1d\u011bt pr\u00e1v\u011b kv\u016fli nemo\u017enosti sestavit \u00fapln\u00fd a p\u0159esn\u00fd obraz \u017eivotn\u00edho anamn\u00e9zy pacienta a jeho p\u0159\u00edbuzn\u00fdch.\u00a0<\/p>\n<p>Objevuj\u00ed se nov\u00e9 p\u0159\u00edstupy k diagnostice. Vyv\u00edjej\u00edc\u00ed se technologie um\u011bl\u00e9 inteligence jsou schopny diagnostikovat onemocn\u011bn\u00ed shroma\u017e\u010fov\u00e1n\u00edm a systematizov\u00e1n\u00edm nejen rozpt\u00fdlen\u00fdch dat pacientovy zdravotn\u00ed historie, ale tak\u00e9 porovn\u00e1v\u00e1n\u00edm t\u011bchto informac\u00ed s obrovsk\u00fdmi objemy v\u011bdeck\u00fdch prac\u00ed, a to v\u0161e za velmi kr\u00e1tk\u00fd \u010das. Takto funguje <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ibm.com\/watson-health\">IBM Watson Health<\/a><\/noindex> analyzoval data o pacientovi a p\u0159ibli\u017en\u011b 20 milion\u016f v\u011bdeck\u00fdch prac\u00ed z r\u016fzn\u00fdch zdroj\u016f v oblasti onkologie a stanovil p\u0159esnou diagn\u00f3zu pacientovi za 10 minut, nab\u00eddl mo\u017en\u00e9 varianty l\u00e9\u010dby, se\u0159azen\u00e9 podle \u00farovn\u011b spolehlivosti a potvrzen\u00e9 klinick\u00fdmi daty. O syst\u00e9mu se lze do\u010d\u00edst <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ibm.com\/blogs\/watson-health\/examining-the-variation-in-cancer-care\/\">zde<\/a><\/noindex>, <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ibm.com\/blogs\/watson-health\/oncology-professionals-tap-into-ai\/\">zde <\/a><\/noindex>a <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ibm.com\/watson-health\/oncology-and-genomics\">zde<\/a><\/noindex>. Podobn\u011b funguje <noindex><a rel=\"nofollow\" href=\"https:\/\/deepmind.com\/\">DeepMind Health<\/a><\/noindex> od Google. <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ibm.com\/blogs\/watson-health\/hardin-memorial-health-debuts-new-ai-solution-for-radiologists\/\">Zde<\/a><\/noindex> , p\u0159e\u010dt\u011bte si, jak AI pom\u00e1h\u00e1 klinick\u00fdm l\u00e9ka\u0159\u016fm, zejm\u00e9na radiolog\u016fm, kte\u0159\u00ed \u010del\u00ed probl\u00e9mu spr\u00e1vn\u00e9ho \u010dten\u00ed rentgenov\u00fdch sn\u00edmk\u016f, co\u017e vede k nespr\u00e1vn\u00fdm diagn\u00f3z\u00e1m a tedy k opo\u017ed\u011bn\u00e9mu nebo chyb\u011bj\u00edc\u00edmu l\u00e9\u010den\u00ed. A <noindex><a rel=\"nofollow\" href=\"https:\/\/www.zebra-med.com\/\">to<\/a><\/noindex> \u2014 AI, kter\u00e1 prov\u00e1d\u00ed vizualizaci sn\u00edmk\u016f pro pulmonology. Sem pat\u0159\u00ed tak\u00e9 monitorov\u00e1n\u00ed pacient\u016f: nap\u0159\u00edklad americk\u00fd syst\u00e9m na b\u00e1zi AI <noindex><a rel=\"nofollow\" href=\"http:\/\/www.sensely.com\/\">Sense.ly<\/a><\/noindex> sledoval stav pacient\u016f zotavuj\u00edc\u00edch se po slo\u017eit\u00e9m l\u00e9\u010den\u00ed (nebo chronicky nemocn\u00fdch), shroma\u017e\u010foval informace, kter\u00e9 pak p\u0159ed\u00e1val o\u0161et\u0159uj\u00edc\u00edmu l\u00e9ka\u0159i, poskytoval n\u011bkter\u00e1 doporu\u010den\u00ed a p\u0159ipom\u00ednal u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f a pot\u0159ebu prov\u00e9st pot\u0159ebn\u00fd z\u00e1krok. Pou\u017eit\u00ed AI v diagnostice a monitorov\u00e1n\u00ed nemoc\u00ed tohoto typu se stalo mo\u017en\u00e9 d\u00edky v\u00fdkon\u016fm cloudov\u00e9ho v\u00fdpo\u010dtu.<\/p>\n<p><img decoding=\"async\" alt=\"Glob\u00e1ln\u00ed informatika ve zdravotnictv\u00ed: cloudov\u00e9 technologie\" src=\"\/wp-content\/uploads\/2020\/02\/17ab3550d282312d24b9a24e39a38a24.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<noindex><a rel=\"nofollow\" href=\"https:\/\/www.zebra-med.com\/\">Zebra<\/a><\/noindex><\/p>\n<p>Rozv\u00edj\u00ed se internet v\u011bc\u00ed, objevuj\u00ed se chytr\u00e9 zdravotnick\u00e9 za\u0159\u00edzen\u00ed. Ta pou\u017e\u00edvaj\u00ed nejen samotn\u00ed u\u017eivatel\u00e9 (pro sebe), ale i l\u00e9ka\u0159i, kte\u0159\u00ed z\u00edsk\u00e1vaj\u00ed informace o zdravotn\u00edm stavu sv\u00fdch pacient\u016f z mobiln\u00edch za\u0159\u00edzen\u00ed pomoc\u00ed cloudov\u00fdch technologi\u00ed.\u00a0<\/p>\n<h2>Mo\u017enosti l\u00e9ka\u0159sk\u00fdch online platforem<\/h2>\n<p><\/p>\n<h3>\u258dZahrani\u010dn\u00ed zku\u0161enosti<\/h3>\n<p>\nJedna z prvn\u00edch platforem klinick\u00fdch dat pro zdravotnick\u00e9 podniky v USA byla platforma zdravotnick\u00e9ho podniku ur\u010den\u00e1 k extrakci a zobrazov\u00e1n\u00ed informac\u00ed o pacientech z r\u016fzn\u00fdch zdroj\u016f, v\u010detn\u011b skenovan\u00fdch dokument\u016f (EKG, CT atd.) a r\u016fzn\u00fdch postup\u016f l\u00e9ka\u0159sk\u00e9ho zobrazov\u00e1n\u00ed, v\u00fdsledk\u016f laboratorn\u00edch test\u016f, opera\u010dn\u00edch zpr\u00e1v a tak\u00e9 demografie pacient\u016f a kontaktn\u00edch informac\u00ed. Tato platforma byla vyvinuta spole\u010dnost\u00ed Microsoft s n\u00e1zvem Microsoft Amalga Unified Intelligence System. P\u016fvodn\u011b byla platforma vyvinuta jako Azyxxi l\u00e9ka\u0159i a v\u00fdzkumn\u00edky na odd\u011blen\u00ed pohotovosti Washington Hospital Center v roce 1996. K \u00fanoru 2013 byla Microsoft Amalga sou\u010d\u00e1st\u00ed \u0159ady produkt\u016f souvisej\u00edc\u00edch se zdrav\u00edm, kter\u00e9 byly spojeny do spole\u010dn\u00e9ho podniku s <noindex><a rel=\"nofollow\" href=\"https:\/\/wikivisually.com\/wiki\/GE_Healthcare\">GE Healthcare<\/a><\/noindex> nazvan\u00e9m Caradigm. Na za\u010d\u00e1tku roku 2016 Microsoft prodal sv\u016fj pod\u00edl v Caradigm GE.<\/p>\n<p>Amalga byla pou\u017e\u00edv\u00e1na k propojen\u00ed mnoha nesouvisej\u00edc\u00edch zdravotnick\u00fdch syst\u00e9m\u016f, kter\u00e9 vyu\u017e\u00edvaj\u00ed \u0161irok\u00e9 spektrum typ\u016f dat, aby zajistila okam\u017eit\u00fd, aktualizovan\u00fd slo\u017een\u00fd obraz zdravotn\u00edho z\u00e1znamu pacienta. V\u0161echny komponenty Amalga byly integrov\u00e1ny pomoc\u00ed softwaru, kter\u00fd umo\u017e\u0148uje vytv\u00e1\u0159en\u00ed standardn\u00edch p\u0159\u00edstup\u016f a n\u00e1stroj\u016f pro interakci s mnoha programov\u00fdmi a hardwarov\u00fdmi syst\u00e9my nainstalovan\u00fdmi v nemocnic\u00edch. L\u00e9ka\u0159 pou\u017e\u00edvaj\u00edc\u00ed Amalgu mohl b\u011bhem n\u011bkolika sekund z\u00edskat historii minul\u00fdch a sou\u010dasn\u00fdch dat nemocnic, seznamy l\u00e9k\u016f a alergi\u00ed, laboratorn\u00ed testy a p\u0159ehled relevantn\u00edch rentgenov\u00fdch sn\u00edmk\u016f, CT sken\u016f a dal\u0161\u00edch obraz\u016f, uspo\u0159\u00e1dan\u00fdch v jednom p\u0159izp\u016fsobiteln\u00e9m form\u00e1tu, aby vyzdvihl nejd\u016fle\u017eit\u011bj\u0161\u00ed informace pro tohoto pacienta.<\/p>\n<p><img decoding=\"async\" alt=\"Glob\u00e1ln\u00ed informatika ve zdravotnictv\u00ed: cloudov\u00e9 technologie\" src=\"\/wp-content\/uploads\/2020\/02\/1778df9d7f7fbf66a8e3ae5165f6b3a1.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<i>Microsoft Amalga Unified Intelligence System<\/i><\/p>\n<p>Dnes se spole\u010dnost Caradigm USA LLC v\u011bnuje analytice zdrav\u00ed populace: nab\u00edz\u00ed spr\u00e1vu stavu zdrav\u00ed populace, v\u010detn\u011b sledov\u00e1n\u00ed dat, koordinaci a \u0159\u00edzen\u00ed p\u00e9\u010de o pacienty, wellness slu\u017eby a slu\u017eby pro anga\u017eov\u00e1n\u00ed pacient\u016f po cel\u00e9m sv\u011bt\u011b. Spole\u010dnost pou\u017e\u00edv\u00e1 platformu klinick\u00fdch dat <noindex><a rel=\"nofollow\" href=\"https:\/\/www.inspirata.com\/solutions\/research-insights-and-analytics\/\">Inspirata<\/a><\/noindex>, kter\u00e1 p\u0159edstavuje novou generaci platformy Caradigm Intelligence Platform (d\u0159\u00edve zn\u00e1m\u00e9 jako Microsoft Amalga Health Information System). Platforma klinick\u00fdch dat dopl\u0148uje st\u00e1vaj\u00edc\u00ed datov\u00e9 zdroje, v\u010detn\u011b klinick\u00fdch arch\u00edv\u016f a syst\u00e9m\u016f elektronick\u00fdch zdravotn\u00edch z\u00e1znam\u016f. Do syst\u00e9mu byla integrov\u00e1na slo\u017eit\u00e1 prost\u0159ed\u00ed pro p\u0159\u00edjem a zpracov\u00e1n\u00ed nestrukturovan\u00fdch dat a klinick\u00fdch dokument\u016f, obr\u00e1zk\u016f a genomick\u00fdch dat.<\/p>\n<h3>\u258dRusk\u00e9 zku\u0161enosti<\/h3>\n<p>\nNa trhu Ruska se st\u00e1le v\u00edce objevuj\u00ed cloudov\u00e9 zdravotnick\u00e9 syst\u00e9my a online slu\u017eby. N\u011bkter\u00e9 jsou platformy, kter\u00e9 p\u0159eb\u00edraj\u00ed v\u0161echny administrativn\u00ed funkce soukrom\u00fdch klinik, jin\u00e9 automatizuj\u00ed pr\u00e1ci v l\u00e9ka\u0159sk\u00fdch laborato\u0159\u00edch, t\u0159et\u00ed zaji\u0161\u0165uj\u00ed elektronickou informa\u010dn\u00ed interakci zdravotnick\u00fdch za\u0159\u00edzen\u00ed s vl\u00e1dn\u00edmi strukturami a poji\u0161\u0165ovnami. Uve\u010fme n\u011bkolik p\u0159\u00edklad\u016f.\u00a0<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/www.medesk.net\/ru\/\">Medesk<\/a><\/noindex> \u2014 platforma pro automatizaci kliniky: online rezervace k l\u00e9ka\u0159\u016fm, automatizace recepce a pracovn\u00edho m\u00edsta l\u00e9ka\u0159e, elektronick\u00e9 karty, d\u00e1lkov\u00e1 diagnostika, mana\u017eersk\u00e9 reporty, pokladna a finance, skladov\u00e9 hospod\u00e1\u0159stv\u00ed.<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/www.cmd-online.ru\/patsientam\/onlayn-servisy\/sistema-cmd-ekspress\/\">CMD Ekspress<\/a><\/noindex> \u2014 syst\u00e9m <noindex><a rel=\"nofollow\" href=\"https:\/\/www.cmd-online.ru\/\">Centra molekul\u00e1rn\u00ed diagnostiky<\/a><\/noindex>, kter\u00fd umo\u017e\u0148uje pacient\u016fm ve dvou kliknut\u00edch zkontrolovat p\u0159ipravenost anal\u00fdz a z\u00edskat v\u00fdsledky laboratorn\u00edch vy\u0161et\u0159en\u00ed kdykoliv a odkudkoliv na sv\u011bt\u011b.<\/p>\n<p>Elektronn\u00ed medic\u00edna \u2014 spole\u010dnost vyv\u00edjej\u00edc\u00ed software pro zdravotnick\u00e9 organizace, l\u00e9k\u00e1rny, TFOMS, CMO: Ekonomicko-statistick\u00e1 evidence poliklinik, stacion\u00e1\u0159\u016f, integrace radiologick\u00fdch a laboratorn\u00edch syst\u00e9m\u016f s feder\u00e1ln\u00edmi slu\u017ebami, elektronick\u00e1 recepce, evidenci l\u00e9\u010div, laborato\u0159, elektronick\u00e9 zdravotn\u00ed karty (<noindex><a rel=\"nofollow\" href=\"http:\/\/xn----7sbbpccwamipjahf5a7a6fxf1b.xn--p1ai\/solutions\">http:\/\/ elektronick\u00e1-medicina. cz\/ solutions<\/a><\/noindex>).<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/smartmedicina.ru\/smart_medicina\/\">Smart Medic\u00edna<\/a><\/noindex> \u2014 syst\u00e9m automatizace komer\u010dn\u00edch LPU jak\u00e9hokoli profilu s v\u00fdjimkou stacion\u00e1\u0159\u016f: kliniky v\u0161eobecn\u00e9ho profilu; stomatologick\u00e9 ordinace, pro kter\u00e9 jsou k dispozici specializovan\u00e9 rozhran\u00ed a samostatn\u00e9 APM; odd\u011blen\u00ed rychl\u00e9 zdravotn\u00ed pomoci s evidenc\u00ed v\u00fdzev a registrac\u00ed r\u016fzn\u00fdch parametr\u016f a veden\u00edm graf\u016f.<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"http:\/\/www.oblteh.ru\/\">Cloudov\u00e9 technologie<\/a><\/noindex> \u2014 spole\u010dnost specializuj\u00edc\u00ed se na v\u00fdvoj a instalaci komplexn\u00edch informa\u010dn\u00edch syst\u00e9m\u016f pro zdravotnick\u00e9 instituce. Nab\u00edz\u00ed technologickou platformu <noindex><a rel=\"nofollow\" href=\"http:\/\/oblteh.ru\/it_resheniya.html\">IBIS<\/a><\/noindex> pro urychlenou tvorbu aplikac\u00ed pro zdravotnictv\u00ed.\u00a0<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/klinikon.ru\/\">Online klinika<\/a><\/noindex> \u2014 program pro spr\u00e1vu soukrom\u00e9 kliniky zalo\u017een\u00fd na cloudov\u00fdch technologi\u00edch: online registrace, VoIP telefonie, z\u00e1kaznick\u00e1 datab\u00e1ze, sledov\u00e1n\u00ed materi\u00e1l\u016f, kontrola financ\u00ed, den\u00edky n\u00e1v\u0161t\u011bv, pl\u00e1nov\u00e1n\u00ed l\u00e9\u010dby, kontrola zam\u011bstnanc\u016f.<\/p>\n<h2>Z\u00e1v\u011br<\/h2>\n<p>\nDigit\u00e1ln\u00ed zdravotn\u00ed p\u00e9\u010de vyu\u017e\u00edv\u00e1 nejnov\u011bj\u0161\u00ed informa\u010dn\u00ed a komunika\u010dn\u00ed technologie k rozvoji a podpo\u0159e rychlej\u0161\u00ed, efektivn\u011bj\u0161\u00ed a n\u00e1kladov\u011b v\u00fdhodn\u011bj\u0161\u00ed zdravotn\u00ed praxe. Tato technologick\u00e1 transformace zdravotnictv\u00ed se stala glob\u00e1ln\u00edm trendem. Hlavn\u00edmi \u00fakoly zde jsou: zvy\u0161ov\u00e1n\u00ed dostupnosti, komfortu a kvality zdravotn\u00ed p\u00e9\u010de pro lidi po cel\u00e9m sv\u011bt\u011b; v\u010dasn\u00e1, p\u0159esn\u00e1 diagnostika; hlubok\u00e1 l\u00e9ka\u0159sk\u00e1 anal\u00fdza; zbaven\u00ed l\u00e9ka\u0159\u016f rutinn\u00edch \u010dinnost\u00ed. \u0158e\u0161it tyto \u00fakoly pomoc\u00ed modern\u00edch technologi\u00ed je nyn\u00ed mo\u017en\u00e9 pouze s vyu\u017eit\u00edm v\u00fdznamn\u00e9ho v\u00fdpo\u010detn\u00edho v\u00fdkonu a technick\u00e9 podpory IT specialist\u016f, kte\u0159\u00ed se stali dostupn\u00fdmi organizac\u00edm jak\u00e9hokoli rozsahu a sm\u011bru zdravotnictv\u00ed pouze d\u00edky <noindex><a rel=\"nofollow\" href=\"https:\/\/ruvds.com\/ru-rub#advantages\">cloudov\u00fdm slu\u017eb\u00e1m<\/a><\/noindex>.<\/p>\n<p>Budeme r\u00e1di, pokud se \u010dl\u00e1nek uk\u00e1zal jako u\u017eite\u010dn\u00fd. Pokud m\u00e1te pozitivn\u00ed zku\u0161enost s digit\u00e1ln\u00ed zdravotn\u00ed p\u00e9\u010d\u00ed \u2014 pod\u011blte se o n\u011b v koment\u00e1\u0159\u00edch. Pod\u011blte se tak\u00e9 o negativn\u00ed zku\u0161enosti, nebo\u0165 je d\u016fle\u017eit\u00e9 hovo\u0159it o tom, co je t\u0159eba v t\u00e9to oblasti zlep\u0161it.<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/ruvds.com\/ru-rub\/#order\"><img decoding=\"async\" alt=\"Glob\u00e1ln\u00ed informatika ve zdravotnictv\u00ed: cloudov\u00e9 technologie\" src=\"\/wp-content\/uploads\/2020\/02\/c0700cc2c8e1133543d9bd1f8a9dc4b3.png\" style=\"display:block;margin: 0 auto;\" \/><\/a><\/noindex><br \/>\n<br \/>Zdroj: <a content=\"nofollow\" rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/company\/ruvds\/blog\/486804\/\">habr.com<\/a> <\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>\u0421\u0435\u043a\u0442\u043e\u0440 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0445 \u0443\u0441\u043b\u0443\u0433 \u043f\u043e\u0441\u0442\u0435\u043f\u0435\u043d\u043d\u043e, \u043d\u043e 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\u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u2014 \u0444\u043e\u0440\u043c\u0443\u043b\u0438\u0440\u0443\u0435\u0442 \u043a\u043b\u044e\u0447\u0435\u0432\u043e\u0435 \u0442\u0440\u0435\u0431\u043e\u0432\u0430\u043d\u0438\u0435 \u0434\u043b\u044f \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u044f \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0430 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0445 \u0443\u0441\u043b\u0443\u0433 \u0438 \u0443\u043b\u0443\u0447\u0448\u0435\u043d\u0438\u044f \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u043e\u0432 (\u0430 \u0437\u043d\u0430\u0447\u0438\u0442, \u0434\u043b\u044f \u0443\u043b\u0443\u0447\u0448\u0435\u043d\u0438\u044f \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0430 \u0436\u0438\u0437\u043d\u0438 \u043a\u043e\u043d\u043a\u0440\u0435\u0442\u043d\u043e\u0433\u043e \u0447\u0435\u043b\u043e\u0432\u0435\u043a\u0430 \u0438 \u0435\u0451 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