Lebedev G.S., Shahova M.A., Kholin A.M., Malyarenko O.L.
V.I. Kulakov’s Scientific Center for Obstetrics, Gynecology and Perinatology, Moscow

Contacts: Lebedev Georgiy, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. The article dwells upon requirements for prospective register of assisted reproductive technologies. Its implementation is to be based upon a specialized data warehouse - an electronic passport of women's reproductive health, which allows to store dynamic information about health status of all women in need of such technologies. This register will serve as a basis for analyzing effectiveness of the assisted reproductive technologies and supporting medical decision making.

Unlike electronic health record, the electronic passport of women's reproductive health can make the electronic health records’ data "active", i.e. to carry out an automatic selection of several medical decisions based on the generated knowledge base. This knowledge base will be maintained according to improvements in heuristic ideas; recommendations about possible use of the assisted reproductive technologies can be made automatically.

The developed mathematical methods and software will be utilized by all specialized medical centers to improve application of the assisted reproductive technologies by means of preliminary and subsequent risk calculations and treatment plans’ adjustment, and use of drugs with proven effectiveness.

Results of the study will be useful for patients to select the most effective medical center with best results in applying the assisted reproductive technologies.

Therefore, it is extremely important to develop an information system to keep the prospective register of assisted reproductive technologies, consisting of mathematical models and algorithms to evaluate effectiveness of their implementation.

Keywords. Health informatics; medical information systems; electronic health record; reproductive health passport; assisted reproductive technologies.

References

1. Emelin I.V., Zingerman B.V., Lebedev G.S. O standartizatsii struktury elektronnykh meditsinskikh dannykh [On standardization of the structure of electronic medical data]. Informatsionno-izmeritel'nye i upravlyayushchie sistemy 2010; 8(12): 18-24. (In Russian).
2. Lebedev G.S., Mazhirin I.V., Tronin Yu.N., Yatsuk V.Ya. Ob odnom podkhode k realizatsii komponentov mashiny znaniy sredstvami applikativnoy komp'yuternoy logiki [On one approach to implementing the components of knowledge machine by using applicative computer logic]. In: Vsesoyuznaya konferentsiya po iskusstvennomu intellektu. Tezisy dokladov [All-Russian conference on artificial intellect. Theses of reports]. Vol. 3. Pereslavl'-Zalesskiy. 1988. p. 314-317. (In Russian).
3. Lebedev G.S., Tikhonova Yu.V. Trebovaniya k arkhitekture, opredeleniyu, oblasti primeneniya i kontekstu elektronnoy meditsinskoy karty [Requirements for architecture, definition, application area and the context of an electronic medical record]. Informatsionno-izmeritel'nye i upravlyayushchie sistemy 2010; 8 (12): 25-37. (In Russian).
4. Lebedev G.S., Tronin Ju.N. Realizatsiya modeley predstavleniya znaniy intellektual'nykh sistem grafami potokov dannykh [Implementation of the models of knowledge representation of intellectual systems by the data flow graphs]. In: Tezisy dokladov Vsesoyuznogo nauchno-prakticheskogo seminara "Intellektual'noe programmnoe obespechenie EVM". Chast' 1 [“Intellectual computer software”, theses of reports of All-Russian scientific and practical workshop. Part 1]. Rostov-na-Donu: Terskol; 1990. p.59-60. (In Russian).
5. O Kontseptsii dolgosrochnogo sotsial'no-ekonomicheskogo razvitiya Rossiyskoy Federatsii na period do 2020 goda (vmeste s «Kontseptsiey dolgosrochnogo sotsial'no-ekonomicheskogo razvitiya Rossiyskoy Federatsii na period do 2020 goda» [On the Concept of long-term socioeconomic development of the Russian Federation for the period till 2020 (together with “Concept of long-term socioeconomic development of the Russian Federation for the period till 2020”]. Rasporyazhenie Pravitel'stva RF ot 17.11.2008 N 1662-r (red. ot 08.08.2009). [Online] [cited 2015 Dec 09]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?base=law&n=90601&req=doc. (In Russian).
6. O napravlenii grazhdan Rossiyskoy Federatsii dlya provedeniya protsedury EKO v 2015 godu [On the referral of the citizens of the Russian Federation for IVF procedure in 2015]. Pis'mo Minzdrava Rossii ot 27 fevralya 2015 g. ¹ 15-0/10/2-1073. [Online] [cited 2015 Dec 09]. Available from: http://www.consultant.ru/document/cons_doc_LAW_178448/ (In Russian).
7. O poryadke ispol'zovaniya vspomogatel'nykh reproduktivnykh tekhnologiy, protivopokazaniyakh i ogranicheniyakh k ikh primeneniyu (v red. prikaza Minzdrava Rossii ot 11.06.2015 N 332n). [On the order of implementation of auxiliary reproductive technologies, contraindications and usage limitations (In the edition of the order of the Russian Ministry of Health of 2015 June 11 N332n)]. [Online] [cited 2015 Dec 09]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=LAW;n=182398. (In Russian).
8. O programme gosudarstvennykh garantiy besplatnogo okazaniya grazhdanam meditsinskoy pomoshchi na 2014 god i na planovyy period 2015 i 2016 godov [On the program of the state guarantees for delivering free medical care to the citizens of the RF for 2014 and the planning period of 2015-2016]. Postanovlenie Pravitel'stva RF ot 18.10.2013 N 932 (red. ot 29.05.2014). [Online] [cited 2015 Dec 09]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=LAW;n=164106. (In Russian).
9. Ob osnovakh okhrany zdorov'ya v Rossiyskoy Federatsii [On the basis of population health protection in the Russian Federation]. Federal'nyy zakon ot 21 noyabrya 2011 g. N 323-FZ. [Online] [cited 2015 Dec 09]. Available from: http://docs.cntd.ru/document/902312609. (In Russian).
10. Ob utverzhdenii standarta meditsinskoy pomoshchi pri besplodii s ispol'zovaniem vspomogatel'nykh reproduktivnykh tekhnologiy: [On approving the standards of medical care for infertility patients with using auxiliary reproductive technologies]. Prikaz Minzdrava Rossii ot 20 oktyabrya 2012 g. ¹ 556n. [Online] [cited 2015 Dec 09]. Available from: http://www.rosminzdrav.ru/documents/6655-proekt-prikaza-minzdrava-rossii-ot-20-oktyabrya-2012-g. (In Russian).
11. Osnovnye razdely EMK [The main sections of electronic medical history]. Pis'mo Zamestitelya Ministra zdravookhraneniya Rossiyskoy Federatsii ot 14.11.2013 g. ¹ 18-1/10/2-8443 «Ob utverzhdenii osnovnykh razdelov EMK». Utverzhdeny Ministrom zdravookhraneniya RF 11.11.2013 g. [Online] [cited 2015 Dec 09]. Available from: http://www.consultant.ru/document/cons_doc_LAW_116930/fb6cf8158573726bdadb94f73327a8caf09d4a46/. (In Russian).
12. Perechen' meditsinskikh organizatsiy, okazyvayushchikh meditsinskuyu pomoshch' patsientam, stradayushchim besplodiem, s ispol'zovaniem metoda ekstrakorporal'nogo oplodotvoreniya v ramkakh Programmy gosudarstvennykh garantiy besplatnogo okazaniya grazhdanam meditsinskoy pomoshchi na 2013 god i na planovyy period 2014 i 2015 godov za schet sredstv territorial'nykh fondov obyazatel'nogo meditsinskogo strakhovaniya: [The list of medical facilities providing medical care to infertility patients with using in vitro fertilization within the frames of the program of the state guarantees for free medical care for 2013 and planned period of 2014-2015 using regional mandatory health insurance funds]. Pis'mo Minzdrava Rossii ot 28 avgusta 2014 g. ¹ 15-4/3179-07. [Online] [cited 2015 Dec 09]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=EXP;n=574185;dst=100001. (In Russian).
13. Rossiyskaya assotsiatsiya reproduktsii cheloveka. Registr VRT. Otchet za 2013 g. [Russian association of human reproduction. Register ART. Report for 2013]. [Online] [cited 2015 Dec 14]. Available from: http://www.rahr.ru/d_registr_otchet/registr_2015.pdf. (In Russian).
14. Chislennost' i sostav naseleniya [The number and composition of the population]. Federal'naya sluzhba Gosudarstvennoy statistiki. Ofitsial'naya statistika. Demografiya. [Online] [cited 2015 Dec 14]. Available from: http://www.gks.ru/wps/wcm/connect/rosstat_main/rosstat/ru/statistics/population/demography/#. (In Russian).
15. European Society of Human Reproduction and Embryology. Data collection and research. European IVF Monitoring, Data collection. [Online] [cited 2015 Dec 14].Available from: https://www.eshre.eu/Data-collection-and-research/Consortia/EIM.aspx.
16. L.Gianaroli, M.C.Magli, L.Gambardella, A.Giusti,C.Grugnetti, and G. Corani. Objective way to support embryo transfer: a probabilistic decision. Human Reproduction 2013; 28(5): 1210–1220.
17. Laura van Loendersloot, S. Repping, P.M.M. Bossuyt, F. van der Veen, M. van Wely. Prediction models in In Vitro Fertilization; where are we? A mini review. Journal of Advanced Research 2014; 5 (3 May): 295–301.
18. L.L. van Loendersloot, M. vanWely, S. Repping, P.M.M. Bossuyt, and F. van der Veen. Individualized decision-making in IVF: calculating the chances of pregnancy. Human Reproduction 2013; 28 (11): 2972–2980.
19. Milewski Robert, Jamiołkowski Jacek, Milewska Anna Justyna, Domitrz Jan, Szamatowicz Jacek, Wołczyński Sławomir. Prognosis of the IVF ICSI/ET procedure efficiency with the use of artificial neural networks among patients of the Department of Reproduction and Gynecological Endocrinology. Ginekol Pol 2009; 80: 900-906.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*