Systems and Means of Informatics

2015, Volume 25, Issue 1, pp 186-197


  • G. Y. Ilushin
  • V. I. Limansky


This article deals with the health care system organizational model regarding rendering of primarymedical care to the population and the hierarchical three-level structure of medical institutions formed during the process of its reforming. The analysis of the existing ways of patient routing is carried out, including patient booking in medical institutions of the first level (the attached contingent), the redirection of patients to medical institutions of the second and the third levels by means of coupons and electronic assignments issued by doctors. The analysis of advantages and disadvantages of these ways is presented. The electronic control systems of patient flows used for patient routing are examined as well as some problems of their implementation, in particular, implementation of EMIAS inMoscow. The analysis of electronic control systems of patient flows is given. Their main components are defined. The structure of this system based on the principles of a single point of distributed systems components interaction is suggested. The processes taking place in the system during realization of the main precedents are examined. The data flows between components of the system arising during these processes are defined. The paper also deals with approaches to organization of electronic documents flow between the medical institutions based on application of electronic appointments.

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