Global health informatics: cloud technologies

Iyo yekurapa masevhisi chikamu zvishoma nezvishoma asi inokurumidza kugadzirisa cloud computing matekinoroji kumunda wayo. Izvi zvinoitika nekuti mushonga wemazuva ano wepasirese, uchiomerera kune chinangwa chikuru - kutarisa kwemurwere - inogadzira chinhu chakakosha chinodiwa pakuvandudza kunaka kwemabasa ekurapa nekuvandudza mhedzisiro yekiriniki (uye nekudaro, yekuvandudza hupenyu hwemumwe munhu uye kurebesa): kukurumidza kuwana ruzivo nezvemurwere zvisinei nenzvimbo yaari uye nachiremba. Nhasi, tekinoroji yemakore chete ndiyo ine mukana unobatika wekuzadzisa ichi chinodiwa.

Semuenzaniso, kubata neiyo yazvino coronavirus 2019-nCoV Iko kumhanya kweruzivo rwakapihwa neChina pazviitiko zvechirwere uye mhedzisiro yekutsvagisa, izvo zvisiri zvishoma zvakaitwa kuti zvigoneke nekuda kwechimanjemanje ruzivo matekinoroji, kusanganisira iwo emakore, anobatsira. Enzanisa: kusimbisa denda (zvinoreva kuwana uye kuongorora data nezvehutano hwevanhu, kudzidza hutachiona nekufamba kwenguva) atypical pneumoniayakakonzerwa neiyo SARS coronavirus kuChina muna 2002 zvakatora inenge mwedzi misere! Panguva ino, ruzivo rwepamutemo rwakagamuchirwa neWorld Health Organisation ipapo - mukati memazuva manomwe. "Tinofara kuona kubata kwakakomba kweChina kwechirwere ichi ... kusanganisira kupihwa kwedata uye genetic kutevedzana kwehutachiona." yakashamiswa WHO Director General Tedros Adhanom Ghebreyesus pamusangano nemutungamiri weChina Xi Jinping. Ngationei kuti "makore" angave anei mukurapa uye nei.

Global health informatics: cloud technologies

Medical data nyaya

▍ Mavhoriyamu

Mavhoriyamu mahombe edata, ayo mushonga wagara uchishanda nawo, ave kushanduka kuita makuru. Izvi zvinosanganisira kwete nhoroondo dzezvokurapa chete, asiwo boka rezvakajairwa zvekiriniki uye data rekutsvagisa mune dzakasiyana siyana dzekurapa, uye ruzivo rutsva rwekurapa rwuri kuwedzera zvakanyanya: nguva yaro yekupeta kaviri yaive makore makumi mashanu apfuura mu50; yakawedzera kusvika kumakore manomwe muna 1950; makore 7 aive muna 1980 uye muna 3,5 zvinofungidzirwa kuti zvichapetwa mukati memazuva makumi manomwe nematatu (maererano ne 2011 kudzidza kubva mukushanda kweClinical uye Climatological Association yeAmerica). 

Hezvino zvimwe zvezvikonzero zvekuwedzera kwepasi rose kwedata:

  • Kuvandudzwa kwesainzi uye, semhedzisiro, kuwedzera kwemavhoriyamu uye kurerutsa nzira dzekuburitsa zvinyorwa zvitsva zvesainzi.
  • Kufamba kwemurwere uye nzira nyowani dzenhare dzekuunganidza data (nharembozha yekuongororwa uye yekutarisa sezvitsva zve data data).
  • Kuwedzera kwehupenyu hwehupenyu uye, sechikonzero, kuwedzera kwenhamba ye "varwere vakwegura".
  • Kuwedzera kwenhamba yevarwere vechidiki vanokwezvwa nekusimudzirwa kwemazuva ano kwepasirese kwemararamiro ane hutano uye mushonga wekudzivirira (kare, vechidiki vaienda kune vanachiremba chete pavakarwara chaizvo).

▍ Kuwanikwa

Munguva yakapfuura, varapi vakashandura kushandisa zvinyorwa zvakawanda zvemashoko, kubva kune injini dzekutsvaga, apo zvinyorwa zvingave zvisina kuvimbika, kumagazini akadhindwa uye mabhuku eraibhurari yezvokurapa, izvo zvinotora nguva kuwana nekuverenga. Kana dziri nhoroondo dzezvekurapa uye mhedzisiro yekuedzwa kwevarwere mumakiriniki everuzhinji uye akazvimirira uye zvipatara, isu tese tinoziva kuti imwe neimwe yakadaro yekurapa ichiri neyayo yemuviri rekodhi yevarwere, apo vanachiremba vanopinza ruzivo nemaoko uye vanonamira mumapepa ane mhedzisiro yekutsvaga. Zvinyorwa zvemapepa hazvina kunyangarika zvakare. Uye icho chikamu cheruzivo rwemurwere chakanyorwa nedigital chinochengetwa pamasevha emunharaunda mukati mebhizinesi rekurapa. Nokudaro, kuwana ruzivo urwu kunogoneka chete munharaunda (pamwe chete nemari yakakwirira yekushandiswa, kutsigirwa nekugadzirisa kweiyo "boxed" system).

Iyo tekinoroji yegore iri kushandura hutano kuve nani

Kutsinhana kweruzivo pakati penyanzvi dzekurapa maererano nemurwere kunowedzera kushanda. Yese data nezvemurwere inopinzwa mune yake electronic medical record, iyo inochengetwa pane imwe nzvimbo iri kure mugore: nhoroondo yezvokurapa; mazuva chaiwo uye mamiriro ekukuvadzwa, zviratidzo zvechirwere uye majekiseni (uye kwete kuvhiringidzika kubva pamashoko emurwere anoonekwa mumakore - izvo zvakakosha zvakanyanya pakuongororwa, kufungidzira kwekurapa, kufanotaura njodzi dzezvirwere kune vazukuru); mifananidzo yakasiyana-siyana (x-ray, CT, MRI, mifananidzo, nezvimwewo); bvunzo mhinduro; cardiograms; ruzivo pamusoro pemishonga; mavhidhiyo akarekodhwa ekupindira kwekuvhiya uye chero humwe ruzivo rwekiriniki uye rwekutonga. Kuwanikwa kune iyi yega, data yakachengetedzwa inopihwa kune vane mvumo vanachiremba mumakiriniki akasiyana. Izvi zvinokutendera kuti ugone kukwenenzvera mafambiro ebasa rechiremba, kuita kwakaringana uye nekukurumidza kuongororwa, uye kuronga kwakaringana uye, zvakakosha, kurapwa nenguva.

Global health informatics: cloud technologies
Electronic medical record

Kuchinjana nekukurumidza kweruzivo pakati pemasangano ezvehutano akasiyana kunogoneka. Uku ndiko kusangana kwemarabhoritari ekutsvagisa, makambani emishonga ane masangano ekurapa akasiyana (kuwanikwa kwemishonga), uye zvipatara zvine makiriniki. 

Precision (yakasarudzika) mushonga wekudzivirira uri kubuda. Kunyanya, nerubatsiro rwehunyanzvi hwekunyepedzera matekinoroji, ayo asingagone kushandiswa mune mazhinji masangano ekurapa nekuda kwesimba resosi yezvavanoda komputa, uye mugore - zvichida

Automation yemaitiro ekurapa inoderedza nguva inoshandiswa pairi. Electronic medical zvinyorwa uye zororo rekurwara, mutsara wemagetsi uye kure kure risiti yemhedzisiro yebvunzo, yemagetsi social insurance system uye archive yekurapa, electronic dentistry ΠΈ murabhoritari - zvese izvi zvinobvumira vashandi vezvokurapa kuti vasunungurwe kubva pamapepa uye mamwe mabasa enguva dzose kuitira kuti vape nguva yakawanda yekushanda zvakananga kudambudziko remurwere. 

Pane mukana wekuchengetedza zvakawanda pazvivakwa, kunyangwe kusvika padanho rekusaisa mari mairi zvachose. Izvo zvivakwa-se-sevhisi (IaaS) uye software-se-a-sevhisi (SaaS) modhi inopihwa nevanopa masevhisi egore inobvumidza iwe kutsiva kutenga kunodhura kwesoftware uye kudyara kukuru muzvivakwa zvenzvimbo yekurapa nekurenda izvi. modhi uye kuvawana kuburikidza neInternet. Uyezve, izvo chete zviwanikwa zveseva izvo sangano rinoshandisa chaizvo zvinobhadharwa, uye kana zvichidikanwa, zvinogona kuwedzera huwandu kana mavhoriyamu ekuchengetedza. Iko kushandiswa kwematekinoroji egore pamwe chete nerutsigiro rwehunyanzvi kubva kune gore sevhisi inopa inobvumira mabhizinesi ekurapa kuchengetedza zvakanyanya pamitengo yevashandi veIT, sezvo pasina chikonzero chekuchengetedza yavo yega data yekuchengetedza dhata.

Chengetedzo inosvika padanho idzva. Kushivirira kukanganisa, kudzoreredza data, kuvanzika kwave kuitika nekuda kweakasiyana matekinoroji (backup, yekupedzisira-kusvika-kumagumo encryption, kudzoreredza njodzi, nezvimwewo), izvo nemaitiro echinyakare zvinoda mutengo wakakura (kusanganisira mutengo wekugadzirisa zvikanganiso zvevashandi vasingakwanisi iyi IT nzvimbo) kana hazvigoneke zvachose, uye riini kuhaya kwemakore inosanganisirwa mupakeji yemasevhisi kubva kumupi (apo nyaya dzekuchengetedza dzinobatwa nenyanzvi dzinovimbisa imwe, yakaringana mwero wekuchengetedza). 

Zvinoita kuti ugamuchire emhando yepamusoro kubvunzana kwekurapa pasina kubva pamba: telemedicine. Kubvunzurudza kure kwakavakirwa pamagetsi evarwere data akachengetwa mugore ave kutooneka. Nekuwedzera kugamuchirwa kwegore komputa muhutano hwehutano, teleconsultation inotarisirwa kuve ramangwana reindasitiri yekurapa. Musika we telemedicine wakakura zvakanyanya mumakore achangopfuura. Kubva muna 2015, musika wepasi rose telemedicine waikosheswa madhora mabhiriyoni gumi nemasere uye unotarisirwa kunge uchikosha kudarika mabhiriyoni makumi mana nerimwe emadhora panosvika 18. Zvizhinji zvinhu zvakakonzera kukura kwemusika, kusanganisira kuwedzera mitengo yezvehutano hutano masevhisi, mari ye telemedicine, uye kuwedzera kutorwa kwehutano hwedhijitari. Telemedicine inonyanya kukosha kune vanhu vakaremara, uye zvakare inoderedza zvakanyanya mutoro panzvimbo dzekurapa nemakiriniki. Panguva imwecheteyo, hapana anogona kukanzura chiremba "mhenyu": semuenzaniso, zvikumbiro zvakaita seBritish Cloud service Ada, kushanda pahwaro hweAI (pamusoro pezviri pazasi), inokwanisa kubvunza murwere nezvezvichemo zvake, kuongorora mhinduro dzebvunzo uye kuita kurudziro (kusanganisira iyo nyanzvi, riini uye nemibvunzo ipi yekushanyira). 

Global health informatics: cloud technologies
Global telemedicine musika saizi kubva 2015 kusvika 2021 (mumadhora bhiriyoni)

Sarudzo dzechimbichimbi dzokurapa dzinogoverana dzinova dzechokwadi. Kubudirira kukuru mukuvhiya kwekuvhiya kwave kuri-chaiyo-nguva vhidhiyo musangano uchishandisa nharembozha. Zvakaoma kuwedzeredza mukana wekubvunzurudzwa kwevanachiremba vakasimba mumamiriro ekukurumidzira panguva yekuvhiya, iri munzvimbo dzakasiyana dzepasi. Izvo zvakare zvakaoma kufungidzira kusinga vhiringike kubvunzana pasina makore tekinoroji zviwanikwa. 

Analytics inova yechokwadi. Iko kugona kusanganisa makadhi emagetsi uye archives ane data yevarwere ane gore-based analytical system inobvumidza iwe kuwedzera nhamba uye kugadzirisa mhando yezvidzidzo. Izvi zvinonyanya kukurumidza muzvikamu zvakasiyana-siyana zvebiomedical, kunyanya mumunda wekutsvakurudza kwemajini, izvo zvagara zvakaoma kuita nemazvo nekuda kwekutadza kuunganidza mufananidzo wakakwana uye wakarurama wenhoroondo yehupenyu hwemurwere nehama dzake. 

Nzira itsva dzekuongorora zvirwere dziri kubuda. Kugadzira matekinoroji ehungwaru hwekugadzira kunokwanisa kuongorora zvirwere nekuunganidza nekugadzirisa kwete chete data rakapararira kubva munhoroondo yekurapa kwemurwere, asiwo kuenzanisa ruzivo urwu nehukuru hwebasa resainzi, kuita mhedziso munguva pfupi. Hongu, hurongwa IBM Watson Hutano akaongorora dhata remurwere uye angangoita mamirioni makumi maviri mapepa esainzi kubva kwakasiyana siyana pamusoro peoncology uye akaongorora chokwadi chemurwere mumaminetsi gumi, achipa nzira dzekurapa dzinobvira, dzakaiswa pamwero wekuvimbika uye dzakasimbiswa nedata rekiriniki. Unogona kuverenga nezve system pano, pano ΠΈ pano. Inoshanda nenzira imwechete DeepMind Health kubva kuGoogle. zviri verenga nezvekuti AI inobatsira sei varapi, kunyanya radiologists, vanotarisana nedambudziko rekuverenga nemazvo mifananidzo yeX-ray, zvichiita kuti vaongororwe zvisirizvo uye, maererano, kunonoka kana kusarapwa. A izvozvo - AI inoita kutaridzika kwemifananidzo kune pulmonologists. Izvi zvinosanganisirawo kutarisa kwevarwere: semuenzaniso, iyo American system yakavakirwa paAI Sense.ly inotarisisa mamiriro evarwere (kana varwere vasingaperi) vanopora mushure mekurapwa kwakaoma, kuunganidza ruzivo, rwunozoendeswa kuna chiremba anoenda, anopa mamwe mazano, anovayeuchidza kutora mishonga uye kudiwa kwekuita maitiro anodiwa. Kushandiswa kweAI mune iyi nhanho yekuongororwa uye kutarisa kwezvirwere zvave zvichigoneka zvichibva pasimba re cloud computing.

Global health informatics: cloud technologies
mbizi

Iyo Internet yezvinhu iri kusimukira, smart gadget dzekurapa dziri kuoneka. Izvo zvinoshandiswa kwete chete nevashandisi pachavo (ivo pachavo), asiwo navanachiremba, vachigamuchira ruzivo pamusoro pehutano hwehutano hwevarwere vavo kubva kune nharembozha vachishandisa cloud technologies. 

Mikana yemapuratifomu ekurapa epamhepo

▍Chiitiko chekunze

Imwe yekutanga yeUS hutano bhizinesi kiriniki data mapuratifomu, yaive yehutano bhizinesi bhizinesi rakagadzirirwa kuburitsa uye kuratidza ruzivo rwemurwere kubva kwakawanda kwakawanda, kusanganisira magwaro akaongororwa (cardiograms, CT scans, nezvimwewo) uye akasiyana ekurapa ekufungidzira maitiro, mhedzisiro yerabhoritari, kurapwa. maoparesheni, pamwe nenhamba dzevarwere uye ruzivo rwekuonana. Yakagadzirwa neMicrosoft ine zita rekuti Microsoft Amalga Unified Intelligence System. Iyi puratifomu yakatanga kugadzirwa seAzyxxi nevarapi nevatsvaguri padhipatimendi rekukurumidzira reWashington Hospital Center muna 1996. Kubva muna Kukadzi 2013, Microsoft Amalga yaive chikamu chehuwandu hwezvigadzirwa zvine chekuita nehutano zvakasanganiswa kuita mubatanidzwa ne GE Hutano inonzi Cardigm. Mukutanga kwa2016, Microsoft yakatengesa chikamu chayo muCaradigm kuGE.

Amalga yakashandiswa kubatanidza masisitimu ekurapa akasiyana-siyana achishandisa huwandu hwakasiyana-siyana hwemhando dzedata kuti dzipe yekukurumidza, yemazuva ano inoumbwa mufananidzo wenhoroondo yekurapa kwemurwere. Zvese zvikamu zveAmalga zvakabatanidzwa uchishandisa software inobvumira kugadzirwa kwemaitiro akajairwa uye maturusi ekupindirana neakawanda software uye hardware masisitimu akaiswa muzvipatara. Chiremba anoshandisa Amalga anogona, mukati memasekonzi, kugamuchira mamiriro echipatara ekare uye azvino, rondedzero yemishonga uye allergies, bvunzo dzemurabhoritari, uye ongororo yeakakodzera X-rays, CT scans, uye mimwe mifananidzo, yakarongeka mune imwe customizable fomati kuratidza zvakanyanya. ruzivo rwakakosha kumurwere uyu.

Global health informatics: cloud technologies
Microsoft Amalga Unified Intelligence System

Nhasi, Caradigm USA LLC ikambani yehutano hwehuwandu hwevanhu inopa hutano hwehuwandu hwevanhu, kusanganisira kutarisa kwedata, kurongeka kwehutano hwevarwere uye manejimendi, masevhisi ehutano uye masevhisi ekuita varwere pasi rese. Iyo kambani inoshandisa kliniki data platform Inspirata, inova chizvarwa chinotevera cheCaradigm Intelligence Platform (yaimbozivikanwa seMicrosoft Amalga Health Information System). Iyo yekiriniki data chikuva inozadzisa zviripo data assets, zvinosanganisira kiriniki archives uye zvemagetsi rekodhi rekodhi masisitimu. Iyo sisitimu inosanganisira nharaunda yakaoma yekugamuchira uye kugadzirisa isina kurongeka dhata uye zvinyorwa zvekiriniki, mifananidzo uye genomics data.

▍ Chiitiko cheRussia

Cloud medical system uye masevhisi epamhepo ari kuwedzera kuoneka pamusika weRussia. Mamwe mapuratifomu anotora mabasa ese ekutonga emakiriniki akazvimirira, mamwe otomatiki basa mumarabhoritari ekurapa, uye mamwe anopa ruzivo rwemagetsi ruzivo pakati pemasangano ekurapa nemasangano ehurumende nemakambani einishuwarenzi. Ngatipei mienzaniso mishoma. 

Medesk - kiriniki otomatiki chikuva: kugadzwa pamhepo nevarapi, otomatiki yerejitari uye nzvimbo yebasa yachiremba, makadhi emagetsi, diagnostics kure, manejimendi kurondedzera, reji remari uye mari, accounting yekuchengetera zvinhu.

CMD Express - system Center for Molecular Diagnostics, zvichibvumira varwere kuti vatarise kugadzirira kwebvunzo mukudzvanya kaviri uye kugamuchira mhinduro dzemurabhoritari chero nguva yezuva uye kubva chero kupi zvako munyika.

Mushonga wemagetsi ikambani inogadzira software yemasangano ekurapa, ma pharmacy, inishuwarenzi yekurapa, inishuwarenzi yehutano: Economic uye nhamba accounting yemakiriniki, zvipatara, kubatanidzwa kweradiological uye marabhoritari masisitimu ane federal masevhisi, electronic registry, accounting yemishonga, marabhoritari, zvemagetsi kurapwa. zvinyorwa (http://элСктронная-ΠΌΠ΅Π΄ΠΈΡ†ΠΈΠ½Π°.Ρ€Ρ„/solutions).

Smart Medicine - otomatiki sisitimu yezvivakwa zvehutano zvekutengesa zvechero chimiro kunze kwezvipatara: makiriniki akajairwa; mahofisi emazino, ayo ane nzvimbo dzakasiyana-siyana uye nzvimbo dzakasiyana dzekushanda; madhipatimendi ekukurumidzira ane kurekodha kwekufona uye kurekodha kweakasiyana paramita uye kuchengetedza magirafu.

Cloud technologies ikambani inoshanda mukuvandudza uye kuisirwa kwakaoma ruzivo masisitimu emasangano ehutano. Ipa tekinoroji chikuva IBIS kuitira kukurumidza kuvandudzwa kwezvikumbiro zvekurapa. 

Clinic online - chirongwa chakazvimiririra chekiriniki manejimendi chakavakirwa pamakore matekinoroji: kunyoresa online, IP telephony, mutengi base, zvinhu accounting, kutonga kwemari, kugadzwa diaries, kuronga kurapwa, kutonga kwevashandi.

mhedziso

Utano hwedhijitari hunoshandisa ruzivo rwazvino uye matekinoroji ekutaurirana kugadzira uye kutsigira nekukurumidza, kunoshanda uye kusingadhuri maitiro ehutano hwehutano. Iyi shanduko yetekinoroji yehutano hwehutano yave maitiro epasi rose. Zvinangwa zvikuru pano ndezvi: kuwedzera kuwanikwa, kunyaradza uye hutano hwehutano hwevanhu pasi rose; nguva, kuongororwa kwakarurama; ongororo yezvokurapa yakadzika; kusunungura vanachiremba kubva pane zvavanoita. Kugadzirisa matambudziko aya nerubatsiro rwetekinoroji yepamusoro zvino zvinogoneka chete uchishandisa kugoverwa kwesimba rakakomba rekombuta uye rutsigiro rwehunyanzvi hwenyanzvi dzeIT, izvo zvave kuwanikwa kune masangano echero chiyero uye munda wemishonga chete nekuda cloud services.

Tichafara kana chinyorwa chacho chaibatsira. Kana iwe uine chiitiko chakanaka uchishandisa hutano hwedhijitari, igovera mumashoko. Goverana zviitiko zvisina kunaka zvakare, nekuti zvakakosha kutaura nezve izvo zvinoda kuvandudzwa munharaunda iyi.

Global health informatics: cloud technologies

Source: www.habr.com

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