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Extensions and adaptations of existing medical information system in order to reduce social contacts during COVID-19 pandemic.
International Journal of Medical Informatics ( IF 4.9 ) Pub Date : 2020-06-16 , DOI: 10.1016/j.ijmedinf.2020.104224
Aleksandar Milenkovic 1 , Dragan Jankovic 1 , Petar Rajkovic 1
Affiliation  

Objective

The main objective of this paper is the reduction of the COVID-19 pandemic spread by increasing the degree of social distancing by using and upgrading the existing Medical Information System (MIS).

Material and methods

The existing MIS MEDIS.NET, currently used in the largest health center in the Balkans, has been adapted and further developed.

Results

During the adaptation of existing MIS MEDIS.NET 4 new and 9 existing modules were developed. A quick questionnaire for the smart triage of patients was also implemented.

Discussion

The adapted MIS successfully influenced the reduction of social contacts within the Health Center Nis. The need for the arrival of children and their parents to receive appropriate health certificates for the school enrolment is reduced. The therapy of chronic patients has been prolonged for 6 months via an electronic prescription. An online service for the communication between patients and the chosen physicians is provided. Possible social contacts and exposure to the viral environment of patients are reduced by making appointments in extended slots and at determined physical locations. Patients are notified per SMS or email about the availability of chosen and physician on duty. The social distancing of patients and physicians is also established by sending laboratory analyses per email or SMS. Keeping the central registry for COVID-19 is enabled throughout the country.

Conclusion

The smart adaptation of MIS, and its collaboration with other state systems can significantly influence the reduction of social contacts and thus mitigate the consequences of COVID-19 pandemic.



中文翻译:

扩展和改编现有的医学信息系统,以减少COVID-19大流行期间的社会联系。

目的

本文的主要目的是通过使用和升级现有的医学信息系统(MIS),通过增加社会距离的程度来减少COVID-19大流行的蔓延。

材料与方法

现有的MIS MEDIS.NET经过改编和进一步开发,目前已在巴尔干最大的医疗中心使用。

结果

在改编现有的MIS MEDIS.NET期间,开发了4个新模块和9个现有模块。还针对患者的智能分类进行了快速问卷调查。

讨论区

改编的MIS成功地影响了Nis卫生中心内社交联系的减少。减少了儿童及其父母到达的目的,以便为入学提供适当的健康证明。慢性患者的治疗已通过电子处方延长了6个月。提供了一个在线服务,用于患者和所选医师之间的通信。通过在扩展的位置和确定的物理位置进行约会,可以减少可能的社交接触和患者对病毒环境的暴露。通过SMS或电子邮件通知患者有关所选医生和值班医生的可用性。通过每封电子邮件或SMS发送实验室分析结果,也可以建立患者与医生之间的社会距离。

结论

MIS的智能适应及其与其他州系统的协作可以显着影响减少社交联系,从而减轻COVID-19大流行的后果。

更新日期:2020-06-22
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