Design and implementation of the system to support making medical decisions aid to the population

Abstract

The publication discusses the issues and results of designing an automated system for supporting medical decision-making on issues of antirabic prevention and aid to the population. The need to provide medical care in the framework of preventing deaths from rabies infection and carrying out preventive measures to prevent such infections is relevant not only in the Russian Federation, but also in many countries of the world. Algorithms for providing medical care and carrying out rabies vaccination are complex, requiring certain professional skills from medical professionals, as well as care and accuracy from patients. Therefore, in manual mode, they are time-consuming both in terms of registering information about the treatment performed, and in terms of the speed of forming medical decisions when providing medical care or when correcting violations of previously defined algorithms. For computer support of these processes, an automated system for supporting medical decision-making has been developed using the tools of the Clarion 10 relational database management system. For various categories of patients and citizens undergoing rabies prevention, experts have developed and entered into the database templates of treatment courses, which are assigned by the system after analyzing the clinical data of patients and the initial or repeated fact of their request for help. These templates and algorithms for analyzing the possibilities of their application are similar to products that allow you to link assumptions and conclusions when making decisions. The automated medical decision support system allows you to register patients and persons undergoing rabies prevention, assign them treatment courses and vaccination schemes, adjust treatment and prevention methods in case of violations of previously prescribed ones, and generate statistical reports. The developed software product received the author’s certificate no. 2018663452 dated 26.10.2018 from the Federal service for intellectual property (Rospatent). The software product has been tested in first aid rooms in Moscow, in the practice of the polyclinic department of the First City hospital named after N. I. Pirogov.