Automated workplace(AWP) is a set of tools implemented on the basis of a personal computer for solving problems in a certain subject area.

Another definition interprets the AWP as a hardware and software complex designed to automate technological processes in a given specialty.

In medicine and healthcare, AWPs are subdivided according to functionality into the following categories:

Administrative and organizational (for example, AWP of the chief doctor of a hospital, head of a department, senior nurse, etc.);

Technological (for example, AWP of a radiologist, a doctor of functional diagnostics, etc.);

Integrated, that is, combining the functions of the first two in different combinations (for example, AWP of the chief radiologist of the city).

The general requirements for the workstation of various specialists are:

Ease of communication between the User and the AWS;

Efficiency of entering, processing and searching documents;

The ability to quickly exchange information between different AWPs;

Exclusion of provisions when the user finds himself in a dead end;

Data entry control with indication of errors;

The ability to customize the AWP for a specific user;

Ergonomic design;

Safety for the health of the user and patient.

For the successful work of users, you should highlight

the following types of ensuring the functioning of the AWP.

The technical support includes a personal computer with the necessary peripheral devices, communication facilities (network support) and special medical devices (special support). The choice of the type of personal computer, peripheral devices and medical equipment is determined by the functional purpose of the AWP.

Software consists of a set of programs designed to control the operation of a computer in autonomous and network modes, as well as to automate the solution of tasks in accordance with the functional purpose of the AWP.

Organizational and methodological support consists of instructive and regulatory and methodological materials on the provision and work in the AWS environment, the organization of information protection, legal documents regulating the attitude and responsibility of users, the formats of input and output data.

In addition to the standard hardware and software (section 1), the workstation of a specialist doctor must be equipped with specialized hardware and software for solving medical problems.

So, some of the doctor's workstations, especially technological ones, include components of medical equipment designed for picking up, amplifying and entering medical information into a computer. In particular, to automate a number of studies in the departments of functional diagnostics, AWPs of specialist doctors are used: neurophysiologist, cardiologist, pulmonologist, etc. t, p.), or sensors (primary transducers), which convert a non-electrical physiological indicator into an electrical signal.

Considering that the electrical signal received from the electrodes or sensors has a low level, it must be amplified.

To do this, use special electronic devices designed to amplify bioelectric signals - biomagnifiers. Usually these are multichannel amplifiers, since the bioelectric activity of some organs is recorded simultaneously through several channels (ECG - in 3-12 leads, EEG and EP up to 29 channels). The main requirements for bioamplifiers are high input impedance, high gain, high noise immunity.

At the output of the amplifier, the signal has an analog form, therefore, it must be converted into a digital code for input into a PC. For this, special devices are used - analog-to-digital converters (ADC). ADC - a device designed to convert analog electrical signal into a digital code. One of the important characteristics of an ADC is the sampling rate, which determines the number of analog signal samples per second. The more high-frequency components are included in the signal, the higher the sampling rate should be. When processing electrophysiological signals, frequencies of 256, 512, 1024 Hz are used. Next important characteristic ADC is the number of quantization levels that determines the number of bits (bits) used to digitally represent the amplitude of a signal. Adequate digital representation of signals requires at least 12 bits.

Multichannel systems use switches or multiplexers to alternately connect each channel to the ADC input.

To enter medical records, devices that convert text, graphic and type information into a digital code can be used. The most commonly used scanners, graphic tablets (digitizers) and digital photo and video cameras.

Along with standard devices input of graphic information (see section 1.3), specialized ones are also used in medicine. For example, digital X-ray systems use solid-state detectors with high X-ray absorption. The scanning method is used with line-by-line input of the image into the PC memory, which is then generally reproduced on the monitor screen (scanning projection radiography).

In the "Hemoanalysis" complex, an optical microscope is coupled with a PC, which provides automatic input of the micropreparation image into a computer, counting blood cells (leukocytes and erythrocytes) in the Goryaev chamber and printing the analysis result on a form.

Hardware interface of traditional medical equipment (X-ray machine, optical microscope, ultrasound device) allows you to automate a number of operations and improve the quality of the work of a specialist doctor.

Special programs included in the AWS are designed to solve specific tasks facing the doctor, and depend on his specialization. So, in technological AWPs, where instrumental methods for studying various functions of the body are often used, programs for processing and analyzing data are used. If bioelectric signals are analyzed (for example, ECG, EEG, EMG, EP, etc.), then the primary processing consists in digital filtering of the original signal. Applying various digital filters, you can significantly reduce the level of interference and interference, get rid of the floating of the isoelectric line. At this stage, you can assess the stationarity of the signal, as well as identify and eliminate various artifacts. Quite often, in order to compress information, the Fourier transform is used to transition from the time domain to the frequency domain. In the future, the processed signal is used to analyze and form a conclusion about the state of the system and organ under study.

The analysis mainly consists in the application of mathematical methods for the isolation and measurement of informative signs, carrying out various computational operations and comparing the obtained set of signs with the corresponding norm indicators or values ​​for various pathological conditions. There are a number of procedures that make it possible to correlate a given state of the system under study by the measured values ​​of features, with one of the possible states, i.e., to make differential diagnostics. In conclusion, the program presents to the doctor the initial records, the results of measuring the signs, the calculated data, indicates the signs that are outside the normal range, and forms a syndromic conclusion about the patient's condition. Such programs are called information and diagnostic programs.

Collection of laboratory information (biochemical, hematological, cytological, histological, etc.) on the state of individual organs and tissues is accompanied by various kinds of images: tomograms, radiographs, blood smears, etc. Computer processing of digitized images is divided into four main groups: image processing, their analysis, restoration and reconstruction.

Image processing aims to improve the original in terms of extracting from them useful information about the investigated organ. Image processing allows you to highlight the details of interest to the researcher. For example, in X-rays, the use of color or edge enhancement helps to better see the details of the image.

Image analysis is the process of extracting quantitative or qualitative information. In the arsenal of applied methods of image analysis there is an analytical apparatus for solving problems of recognition (classification) of images of laboratory research objects. The use of computer-aided image analysis ensures the reliability and reproducibility of the results and significantly saves time.

Image restoration is the restoration of damaged or bad images. Image restoration can also be used in cases where there are artifacts, for example, the movement of the patient at the time of taking an X-ray.

Image reconstruction is the process of creating a two-dimensional (flat) or three-dimensional (volumetric) image from its projections. So, in computed tomography, obtaining flat sections of various organs is carried out by reconstructing (restoring) the image from the X-ray "shadow" cast by the body at a given position of the X-ray source. X-rays exiting the patient's body are picked up by the X-ray detector strip. The output signals of the detectors are digitized for input into a PC where imaging is performed.

In a number of medical studies, for processing large data sets, it is necessary to apply statistical research methods ( detailed description see section 2). Currently available big choice applied statistical programs, which made data analysis methods more accessible and intuitive, freed from time-consuming manual calculations and contributed to the introduction of statistical methods in areas far from mathematical. The inclusion of statistical packages in the doctor's workstation is extremely important for performing scientific research, preparing reports, analyzing time series, not to mention the workstation of medical statisticians, where statistical methods are the main research tool.

Depending on the objectives of the statistical analysis, various application programs, among them: table processors(Excel, Lotus), statistical data processing packages (Biostatistics, Stadia, Statgraph, SPSS, Statistica, etc.), simulation modeling packages (Mathcad, Mathlab, Mathematical

An important place in the specialized software for the workstation of a doctor-specialist is occupied by information systems for supporting decision-making - information and reference and consultative and diagnostic systems described in Section 2.4.

A feature of medical ES is the following:

The explanations given by the ES should be understandable to the ordinary doctor, i.e. the explanatory component should use concepts and structures that are characteristic of this medical branch of knowledge;

The behavior of the system should simulate the behavior of a competent doctor when solving a diagnostic problem, simulate his methods of finding solutions;

Programs must quickly adapt to changes in the body of medical knowledge.

Currently, ES have been developed for consulting medical personnel in various fields of medicine, including diagnostics, prediction, choice of a treatment method, processing curves and images, monitoring, etc.

Part software tools AWS includes a large amount of reference data that allows you to answer any question related to the professional activity of a doctor, or indicate sources where you can get the necessary information.

In medicine, all data about the patient and the terminology used in the records must comply with the standards, be kept taking into account international classifiers

diseases, diagnoses. The only international standard currently used in Russia is the Russian translation of ICD-10CM (International Classification of Diseases) - International Classification of Diseases ICD-10. Besides, Russian system health care fits "and SNOMED-International due to its multi-axis structure and rich terminology (130,000 terms).

Automated workstation (AWP) for a doctor

This is a computer Information system designed to automate everything technological process a doctor of the relevant specialty and providing information support in making diagnostic and tactical (medical, organizational, etc.) medical decisions. The technological process here is understood as treatment-and-prophylactic and reporting and statistical activities, record keeping, work planning, obtaining various kinds of reference information.

According to the purpose, the AWPs used in medical institutions (medical and preventive institutions) can be divided into:

AWP of the clinic receptionist;

Workstation of an outpatient doctor;

AWP of the doctor of the admission department of the hospital;

Workstation of a hospital doctor;

AWS of narrow specialists (endoscopist, urologist, etc.);

Workstation of the doctor of the diagnostic laboratory;

AWP of a radiologist;

AWP of the pharmacy service;

Workstation of an epidemiologist of the immunoprophylaxis service;

AWP of the doctor of the clinical expert commission of the medical institution;

AWP of an employee of the administrative and economic service.

The automated workstation allows you to maintain a centralized database of patients, including all information about examinations and treatment. When using AWP and correct organization data storage systems the patient card will never be lost, and its search will be as simple as possible. In addition, all conclusions and results of examination and treatment can be printed out on a printer at any time and handed over to the patient. Patient care is becoming more convenient for themselves and for doctors.

AWPs are used not only at the basic level of healthcare - clinical, but also to automate workplaces at the management level of healthcare facilities.

The doctor's workstation can function both in an autonomous mode and be part of the information systems of a medical institution.

Let's take a quick look at the individual workstations:

AWP "Polyclinic Registry" Designed for registration of patients and keeping computer records of the disease.

Allows to carry out:

entering the patient's passport data;

organize the issuance of coupons for an appointment with specialists;

group patients according to the chosen criterion: belonging to the site, territory, last visit.

AWP "Nursing personnel" The system is designed to provide information and optimize the activities of nursing personnel.

Allows to carry out:

informing about the appointments and procedures of the patient;

registration of medicines;

bed filling control;

scheduling of staff work.

AWP "Chief Physician" The system is intended for chief physicians. Allows you to plan treatment and diagnostic activities, automate reporting activities.

control of the treatment process and staff actions;

access to data and reports of departments of the institution (accounting, personnel department, warehouse, registry and statistics department).

Workstation "Doctor" System capabilities:

maintaining an electronic history of the patient's illness;

monitoring the patient in dynamics;

accounting of treatment costs;

preparation of reporting documentation;

Access to reference information: drugs, diagnostic procedures, diseases (with MKB).

AWS "Information and Diagnostic System" The system is designed to equip diagnostic rooms and laboratories.

System functionality:

input, quantitative and qualitative analysis of images;

creation of image archives with reference to medical history, reference atlases;

preparation of text comments and conclusions.

Program intended for maintaining medical records in an outpatient setting.

Year: 2011
Version: 4.2.02
Developer: Leybasoft
Platform: Windows XP SP2 or higher
Vista Compatibility: complete
System requirements:
- processor: P-III (Celeron 1.5 GHz) or higher
- RAM: 512 MB (min 256 MB) and higher (recommended)
- HDD space: 100 MB or more (depending on the growth rate of the database file size)
- administrator rights (only for software installation and server settings)
Interface language: only Russian
Tablet: Not required
The size: 172 Mb

Written to help fellow doctors who are obliged to do the impossible in the shortest possible time: draw up an outpatient card according to all the rules, listen carefully to the patient, comprehend what has been said and prescribe an adequate examination and treatment.

The program is technically a two-tier client-server ("thick" client). Firebird RDBMS is used as a server, which allows multi-user access to data and use the application in local network... Access to data is strictly regulated depending on the group under which the user logs into the database (in a word, everyone will "see" only the data that he is allowed to "look" at).

Add. Information: Previous release of the program (version 4.1.08)

What's new in this version:

1. Along with the multiplayer version (using a full-fledged server that requires separate installation and configuration) added so-called. portable version (single-user, containing a built-in server that does not require configuration). The portable version allows the doctor to keep the program + server + his database on an ordinary flash drive or usb-shnom HDD. It is very convenient if you want to work with the database at work and at home, moreover, if there is absolutely no desire to delve into the intricacies of database administration.

2. Added the ability to enter some data in the Latin alphabet (at the request of colleagues from abroad)

3. In some places the interface has been improved (the connection window in the multiplayer version now has three display modes) + numerous "goodies" and "convenience" have been implemented, obvious bugs have been fixed

4. Added HTML help format in addition to the existing chm format

For details, see the help and website ...

Insofar as this version intended only for work urologist-andrologist, the author invites colleagues to cooperate with gynecologists, dermatovenerologists, therapists, neuropathologists, etc. to expand similar functionality in the program. Constructive comments on the content and usability of this version are also welcome.

How to contribute to the further development of software
1. We look at the program interface
2. We catch the logic of work and the relationship between the marked interface elements and the generated data
3. We send in a personal or on the author's soap the complaints / symptoms combined by the same logic and the corresponding "typical" description of complaints / symptoms found in domestic (or "near-foreign") medical documentation (of course, in the specialty that you want to see in program). Here you can also add what other templates (stat. Stamps and other products of the life of bureaucrats from medicine) can be added.

UDC 62-503.51

DESIGN OF THE AUTOMATED WORKPLACE OF THE DOCTOR-THERAPIST SANATORIUM

Zargaryan Elena Valerievna 1, Zargaryan Yuri Arturovich 2, Mishchenko Alexander Sergeevich 3, Limareva Natalia Viktorovna 4
1 Southern Federal University, Ph.D., Associate Professor of the Department of Automatic Control Systems
2 Southern Federal University, Ph.D., Assistant of the Department of Automatic Control Systems
3 Southern Federal University, student of the Department of Automatic Control Systems
4 Southern Federal University, student of the Department of Automatic Control Systems

annotation
This article discusses the developed software application for automating the workplace of the therapist of the sanatorium. Considered short review means of designing an automated system. Power Designer is selected. The analysis of the task at hand has been carried out. The principle of operation of the created software application of the automated workplace of the therapist of the sanatorium is considered.

PROJECTING WORKSTATION THERAPIST SANATORIUM

Zargaryan Elena Valerevna 1, Zargaryan Yuriy Arturovich 2, Mishchenko Aleksandr Sergeevich 3, Limareva Natalya Viktorovna 4
1 Southern Federal University, Ph.D., assistant professor of automatic control systems department
2 Southern Federal University, Ph.D., assistant of automatic control systems department
3 Southern Federal University, student of automatic control systems department
4 Southern Federal University, student of automatic control systems department

Abstract
In this article the developed application software automation workstation therapist sanatorium. Considered a brief overview of the design of the automated system. Set Power Designer. An anadiz task. The principle of work created by the software application workstation therapist sanatorium.

Bibliographic link to the article:
Zargaryan E.V., Zargaryan Yu.A., Mishchenko A.S., Limareva N.V. Designing an automated workstation for a therapist of a sanatorium // Modern technology and technology. 2014. No. 11 [Electronic resource] .. 02.2019).

Introduction. The efficiency of the functioning of an enterprise or organization of any industry and field of activity directly depends on the speed, accuracy and timeliness of data exchange both within this enterprise between its constituent parts (departments, subsystems, etc.), and outside it, that is, interaction and data exchange this organization with others (competing, partner enterprises, etc.). And the larger, the larger the enterprise, the more serious the problem of organizing and controlling flows is facing its managers. huge amount enterprise information.

For a qualitative solution to such problems, enterprises use automated control systems (ACS).

The purpose of this article is the illumination of the developed software application for ensuring the activities of the sanatorium, in particular, the development of an automated workstation for a doctor-therapist.

The relevance of this software application is determined by the need:

1. Conducting the collection of information and evaluating the results of the provision medical care necessary for effective treatment, prevention and rehabilitation;

2. Reducing the waiting time for medical care by managing patient flows, providing data on the workload of doctors, the availability of resources in real time;

3. Reducing the cost of the treatment-and-prophylactic process;

4. Increasing the efficiency of access to information: all medical information about the patient, the results of preventive and therapeutic and diagnostic work, including the results of research, is available to the doctor from the workplace, in real time;

5. Providing the doctor with the necessary information resources: directly in the process of providing medical care, the doctor has access to up-to-date data.

When creating a software application, the following means of implementation were analyzed:

1. Power Designer, which supports modeling and diagramming tools, UML methodology, CDM, PDM, and data warehouse capabilities. This software application supports team development capabilities

2. Oracle is a powerful and stable DBMS that runs on various operating systems, including Windows 98, Windows 2000 / XP, several Unix variants. It is one of the most popular DBMS in the world and has a long history of development and use. Much of Oracle's technology is open to the developer, which provides great flexibility in configuring and customizing it.

However, all of this means that Oracle can be tricky to install, and there is a lot to learn to use. Moreover, the techniques that work in the Oracle version are designed for one operating system may require modification in a version for a different operating system.

There are many configurations for the Oracle software package. First, there are two different versions of the kernel Oracle DBMS: for individuals and organizations. In addition, there is a program for designing forms and reports, Oracle Designer and many tools for publishing databases. Oracle data in the WEB.

3. SQL Navigator is the most popular development environment for Oracle, providing ample opportunities for writing, configuring and debugging PL / SQL libraries, including a built-in expert system and a system of hints.

4. Delphi is a visual design environment that allows you to quickly and efficiently create programs in a team in production, significantly reduce the time spent on preparing applications, as well as coordinate the activities of a group of suppliers, coders, testers and technical writers. Another advantage of Delphi is its cross-platform, i.e. the ability to compile Windows applications to the Kylix format for Linux.

Analysis of technical specifications. In the general case, the means of software support for a therapist can be represented by a set of three automated workstations (AWPs):

AWS "Registry"

AWP "Physician-therapist"

AWS "Administrator"

AWP "Physician-therapist"

Considering the work of a doctor-therapist in general, it can be noted that a patient comes to him with a card and, possibly, the results of an additional diagnostic examination, and his main task is to develop a patient's treatment regimen, which can include various procedures, drug therapy, visits to narrow specialists, etc. The physician therapist must understand the patient's problems, determine at what stage this or that disease is and decide what to do to the patient to improve his well-being. All work on preparing decision-making can be divided into several stages: a description of the patient's condition, clinical examination, diagnosis, determination of therapy goals, setting criteria for achieving therapy goals, analysis of the patient's condition and synthesis of a treatment regimen based on the information received. The physician's interface should be built in accordance with the above diagram. The main form of the AWP should be patient display form who are being treated by this doctor and their visits to the doctor. Visits can be of several types: initial appointment, follow-up appointment, preventive consultation. For each type of visit in the workstation of a doctor-therapist, his own instruments for working with a patient must be selected. The patient display form must have the same capabilities for searching and filtering the corresponding records as the display form of the registrar's AWP. For a more subtle classification of the types of visits to patients, a concept should be introduced - the purpose of the visit. So, for example, In addition, the list identifiers must have a field for the date of the next arrival of the patient. The patient admission form should be organized in the form of an appropriate wizard, which presents the work in a logical sequence. At the first stage, the master records the patient's complaints, anamnesis of the patient's illness, the patient's life history, allergological anamnesis, and a survey of organs and systems is carried out. If, before the doctor's appointment, the patient underwent a diagnostic procedure that in any way excludes diseases of some organs and systems, then the survey should be shortened to save the doctor's time. In addition, at the first stage of the wizard's work, it is possible to carry out a diagnostic procedure within the AWS "Additional diagnostics". When admitting a patient, in order to find out his condition, the survey should begin with registration of complaints the patient. You need to know:

1. What the patient complains about.

2. Exact localization of painful phenomena.

3. Irradiation of pain.

4. Time of appearance (day / night)

5. Factors causing painful sensations (physical or mental stress, food intake, etc.).

6. The nature of the painful sensation, for example, the nature of the pain: constricting, stitching, burning, constant, paroxysmal, etc. , as well as its intensity, duration

7. How the painful phenomenon is stopped

8. The behavior of the patient, the forced position of the patient, relieving painful sensations.

Each complaint must be classified according to belonging to a particular body system. After that, it is necessary to conduct a detailed survey of the patient on those organs and systems that were mentioned at the stage of registration of complaints. In the process of detailing, the following organs and systems are considered:

After registering complaints and detailing the affected organs and systems, the occurrence, development and course of the present disease from its first manifestations to the moment of its examination by a therapist is described in detail in chronological sequence (description of the anamnesis of the disease). The description can be reduced to a survey according to the following scheme:

1. For how long does he consider himself sick?

2. Where and under what circumstances did you get sick for the first time?

3. Factors contributing to the onset of the disease

4. With what signs did the disease begin?

5. The first visit to the doctor, the results of the research, the diagnosis of the disease, treatment during that period, its effectiveness.

6. Subsequent course of the disease

The second stage of the work of the master of the patient reception is a clinical examination conducted by a physician - therapist. As part of a clinical examination, the doctor conducts an external examination of the patient, palpation, percussion, auscultation, in order to determine the state of various organs and systems, reading the emergency, taking blood pressure, measuring growth, determining body weight. Information about the results of each type of examination is registered by the doctor in the appropriate fields of the examination wizard.

At the third stage of the work of the master, the diagnosis made by the doctor to the patient is entered. The main diagnosis is made, it is determined whether the disease is in remission or in an exacerbation, concomitant diagnoses are made, for them the state in which they are is also determined. After establishing diagnoses and determining the course of the disease, the doctor can commit himself to treating the corresponding disease, or refer the patient to a narrow specialist.

AWS "Administrator"

At the “Administrator” workstation level, the following types of work are carried out:

Clinic configuration;

Configuring AWPs;

Setting up directories.

Analysis of similar software systems. "AIS" Polyclinic " CROC has developed and implemented an automated information system for the central polyclinic of the FSB of Russia ( AIS "Polyclinic"). The system covers 340 automated workstations, its users are more than 700 medical workers serving over 5 thousand people a day. The system is intended for complex information and analytical support of the polyclinic work. The system, the central software component of which is the medical information system "Medanalitika", also includes server, computer, network and peripheral equipment connected to the city telephone network office PBX, structured cabling, high-speed local area network, and power and burglar alarm systems.

Medical automated system "MedIS-T". The system is designed to automate industrial medicine, clinics, hospitals, health centers, sanatoriums. Has the ability remote administration workplaces of the system (via the Internet).

Implementation of the software application. With the help of the Power Designer 15 software system, conceptual model data. Since to register patient complaints, it is necessary to fill in almost the same fields for each complaint, it was decided to develop an abstract table for registering complaints.

The following tables have been developed:

Tusers - contains data about system users.

Tpacient - patient card.

Tzalob - contains patient complaints.

T_boby_system - systems of the human body.

T_ boby_pod_system - type of complaint about a specific body system.

Tonsp_obch - a table for determining the current state of the patient.

Tanamnez - medical history.

Tanamnez_next- subsequent course of the disease

Tdiaznoz - contains the patient's diagnosis.

T_pod_diaznoz- contains diagnoses accompanying the main.

Using the Power Designer 15 software system, based on the conceptual data model, physical model data focused on Oracle (see Figure 1).

Creating views . A view is the result of an SQL expression consisting of select, design, and join statements. Views allow you to provide more flexible protection of tables, with their help you can restrict access to certain columns or strings, and they can also be used to join tables.

Rice. 1 - Data model

Presentation structure:

Create or replace view "v_table_name" ("field_name 1", "field_name 2" ... "field_name n") as select "field_name 1", "field_name 2" ... .. "field_name n" FROM "table name" WHERE DEL = 0

Where DEL is the field to mark for deletion

For each table, views of the above structure were created.

Creation of sequences. A sequence is an object that generates a series of consecutive unique numbers. Sequences are most commonly used to generate surrogate key values.

Creating triggers Triggers in Oracle are Java or SQL procedures that are invoked when certain actions are performed on the database. Oracle supports several types of triggers: some are triggered by SQL commands that create new structures in the database, such as tables, others are run once at the table level when table rows are changed, and others are run once for each changed row.

Structure of the created triggers:

BEGIN SELECT SEC_ "table_name". NEXTVAL INTO: NEW. "Table_identifier" FROM DUAL; END;

Implementation of the client side of the software application. The program consists of the following modules:

Login_Unit is a module for logging into the system.

Dm_unit is a module designed to store configured database access tools.

Admin_Unit is a module designed to display a list of registered system users.

Main_Unit - The main form of the application.

Find_User_Unit is a module designed to enter data required for search.

New_User_Unit is a module for adding a new user.

Edit_User_Unit is a module for editing user data.

Reg_nit is a module for displaying patient cards.

New_Pacient_Unit - a module designed to add a new patient to the database.

Edit_pacient_Unit is a module for editing patient data.

Pacient_Unit is a module designed to display patients in the "Physician-therapist" AWP.

Choose_Date_Unit is a module for choosing a date.

Reg_Zalob_Unit - a module designed to register patient complaints.

Detail_zalob_Unit is a module designed to detail the registered complaints.

Edit_Unit is a module for entering a large amount of data.

Anamnez_Unit - a module designed to describe the medical history.

New_zalob_Unit is a module designed to add a new complaint to the database.

Edit_Zalob_Unit - module for editing complaints.

Opred_Sost_Unit - a module designed to determine the current state of the patient.

Diagnoz_Unit is a module designed to make the main diagnosis and related diagnoses.

Sost_Unit_– a module designed to view patient states for different dates. Serves to determine the dynamics of the patient's development.

Edit_Sost_Unit is a module designed to edit data about a patient's condition.

Restore_Users_Unit is a module designed to restore erroneously deleted system users.

DMrestore_Unit is a module designed to store configured database access tools.

Restore_Pacient_Unit - a module designed to restore erroneously deleted patients.

Restore_diagnoz_Unit is a module designed to restore erroneously deleted patient diagnoses.

The structure of the software application is shown in Figure 2.

After starting the software application, a form will be displayed on the monitor screen, which will offer to go through the authentication procedure (see Fig. 3). To enter the system, you will need to enter "login" and "password" in the corresponding fields of the form.

After logging in, the main form of the software application will be displayed (see Figure 4). This form is not informative and only provides a choice of the mode of operation with the application:

AWS "Administrator";

AWS "Registry";

Workstation "Physician-therapist".

Rice. 2 - Structure of the software application

If the user is not assigned the rights to any mode of working with the system, then for given user this mode will not be available.

Rice. 3 - Login form

Rice. 4 - The main form of the software application

AWS "Administrator". After logging into the system in administrator mode, the “Administrator” AWP form will be displayed on the screen (see Fig. 5).

The form displays the users of the system, as well as the rights of these users. With this data, you can perform the following actions:

Add - displays a form for adding a new user (see Fig. 6).

To correctly add a user, you must fill in all the fields, as well as distribute the rights for the user, after which you must click on the "Add" button.

Rice. 5 - Workstation form "Administrator"

Fig. 6 - Form for adding a new user

Edit - displays the form for editing user data. This form is similar to the form for adding a new user.

Delete - this function is intended to delete a user. Data is not physically deleted from the database. Recovery of deleted data is possible at any time.

Search - activation of the search string input form (see Fig. 7).

Fig. 7 - Search string input form

After entering the search string, you must click on the "Find" button.

Also, the administrator has the ability to recover deleted data. There is a specialized form for restoring system users (see Fig. 8)

Fig. 8 - Restoring system users

To restore a user, you must specify it in the list of deleted users, and then click the "Restore" button.

For the recovery of deleted patients, there is a specialized form of patient recovery (see Fig. 9)

Rice. 9 - Patient recovery

To restore a patient, you must specify it in the list of deleted patients, and then click the "Restore" button.

To recover deleted diagnoses, there is a specialized form of recovering diagnoses (see Fig. 10.)

Rice. 10 - Recovery of diagnoses

To restore a diagnosis, you must specify it in the list of deleted diagnoses, and then click the "Restore" button. To restore a concomitant diagnosis, you must specify it in the list of deleted concomitant diagnoses, and then click the "Restore" button. The diagnosis will be restored in the patient from whom it was removed.

Workstation "Physician-therapist". After activating the therapist's mode, the patient display form will be displayed on the screen (see Fig. 11).

The form displays patients assigned to a specific doctor.

With this data, you can perform the following actions:

Selection of patients enrolled for a specific number. To activate this function, you must click on the "Patients" button.

Rice. 11 - Form of AWP "Physician-therapist"

The date selection form will be displayed on the screen (see fig. 12)

Rice. 12 - Date selection form

At the end of the date selection, you must click on the "View" button.

Search - activation of the search string input form (see Fig. 7).

Cancel - the function is designed to cancel the search results.

Start reception - activates the patient reception wizard.

The first step in admitting a patient is to register the patient's complaints (see Fig. 13).

Rice. 13 - Patient Complaints Registration Form

This form displays the patient's complaints. With this data, you can perform the following actions:

Add - activates the form for adding a patient complaint (see Fig. 14).

Rice. 14 - Form for adding a patient complaint

Detail - activates the patient complaint detail form (see Fig. 15).

Edit - this form is similar to the form for detailing the patient's complaint.

Delete - this function is designed to delete a patient card. Data is not physically deleted from the database.

Rice. 15 - Form of detailing the patient's complaint

After registering the patient's complaints, and their detailing, it is necessary to proceed to the description of the anamnesis of the disease. To do this, you need to fill in the fields on two tabs:

Anamnesis of the disease (see Fig. 16).

The subsequent course of the disease (see Fig. 17).

After describing the anamnesis of the disease, it is necessary to begin to determine the patient's condition. If the patient has visited the doctor more than once, thanks to this form, it is possible to track the dynamics of the development of the disease (see Fig. 18).

Rice. 16 - Tab of the description of the anamnesis of the disease

Rice. 17 - Tab describing the subsequent course of the disease

The following actions can be performed with the form data:

Add - activates the form for determining the patient's condition (see Fig. 19).

Edit - activates the patient state editing form. This form is similar to the state definition form.

After describing the history of the disease, it is necessary to proceed with the diagnosis (see Fig. 20).

Rice. 18 - Patient status display form

Fig. 19 - Form for determining the patient's condition

Once the diagnosis has been made, the Patient Admission Wizard can be completed.

Rice. 20 - Form of making diagnoses

The developed software application can be used to automate the workplace of the doctor of the sanatorium.

Bibliographic list

1. D. Krönke, "Theory and practice of building databases. 8th edition" "Peter", 2003.
2. Date, K., J. Introduction to Database Systems. 6th ed. - TO.; M., St. Petersburg: "Williams", 2000. - 848s
3. V.V. Korneev, A.F. Gareev, S.V. V. V. Vasyutin Reich Databases. Intelligent information processing. - M .: Knowledge, 2001.- 496s.
4. Khomonenko A.D., Tsygankov V.M., Maltsev M.G. Databases: Textbook for higher educational institutions / Ed. prof. HELL. Khomonenko. - SPb .: KORONA print, 2002 .-- 672s.
5. Zargaryan E.V., Zargaryan Yu.A. Information Support for problems of multicriteria optimization by the Pareto method. Informatization and communication. 2013. No. 2. S. 114-118.
6. Zargaryan E.V. METHOD OF CALCULATION OF INDISTINCT INDUSTRIAL BALANCE. Bulletin of the Southern Federal University. Technical science. 2008. T. 81. No. 4. S. 125-129.

On this page we post a variety of programs and files that can be useful to practical radiologists.
If you are the author or copyright holder of a program that could supplement this section, please send. We will gladly post it here.

Interactive scheme for the diagnosis of hip dysplasia
Radiologist Sergei S. Melekhin, Snezhinsk, Chelyabinsk region
File:

X-ray calculator
Description: The program "X-ray calculator" is officially registered in the Register of computer programs in the Federal Service for Intellectual Property, Patents and trademarks 07.07.2006

The program is designed for automatic recalculation of image conditions (kV, mAs) according to previously worked out conditions using coefficients.

The program was written for doctors, radiologists and laboratory assistants working on X-ray machines, where the photoexposure meter is not working properly. Especially for devices with a continuous kilovoltage scale and a set of mAs, which is quite difficult for radiographers who used to work on X-ray machines with a stepwise set of kilovolt, current and time.

This program from 11.11.09. not limited in time. Download latest version programs.

I will pay attention to your wishes and comments.

Sincerely,
Pavel Borodin
November 11, 2009

Radiologist of the highest category Pavel Borodin, Central Regional Hospital, Rezh, Sverdlovsk Region
File:

AUTOMATED WORKPLACE (AWS) OF AN X-RAY DOCTOR FOR COMPUTER PROCESSING OF FILM X-RAYS
Description: The developed software package allows you to solve the following issues and improve the quality, convenience and efficiency of the radiologist:

Have fast access to information
- Qualitatively change the level of work with images
- Gives the doctor the ability to convert and save film images in a convenient digital format
- Introduces a high-tech diagnostic tool
- No film, chemicals and processing equipment are needed for work with the corresponding costs and causes of possible allergies
- Ability to process old images with their translation into digital format and subsequent improvement using advanced processing algorithms
- Radiographs are easy to view, convert, e-mail and store.
- Reduction / elimination of the need for repetitive procedures, thanks to software capabilities to compensate for imperfections in exposure
- Integration of diagnostic forms: orthopantomograms, intraoral radiographs and digital images.
- Integration of images with patient information in a single database
- Simple and convenient archiving: hundreds of high quality snapshots can be stored on your hard disk, Flash card or CD
- Effective communication opportunities
- Opportunities for exporting information to Excel for subsequent processing and generalization

Authors: Professor, MD Minaev Yuri Leonidovich, Osadchiy Anton Sergeevich
Program description:
Program: Download (12.9 Mb)

INOBITEC DICOM VIEWER
Description: A visualizer of medical data obtained from various equipment (modality) is deployed on diagnostic workstations and is integrated with PACS. The viewer takes diagnostic capabilities to a completely different level, unattainable with the use of film images or other solid media, and allows you to efficiently and timely identify relevant pathologies, predict their development, and plan their productive elimination.

INOBITEC DICOM SERVER
Description: We offer medical organizations software DICOM server for archiving and online access to images (studies), which are obtained from various DICOM equipment. The server functionality dramatically increases the efficiency of data search and processing, provides long-term centralized storage, as well as privileged access to information.