DOI: 10.21045/2071-5021-2016-52-6-6

Lugovkina T.K., Skornyakov S.N., Egorov E.A., Medvinskiy I.D.
Ural Institute for Phthisiopulmonology of the Ministry of Health of the Russian Federation, Ekaterinburg

Contacts: Lugovkina Tatiana. E-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it ; This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Significance of quality improvement of health care substantiates the need for developing electronic databases and software to support decision making in selection of interventions by doctors and to monitor the quality of clinical practice results.

The purpose of the work was to apply system approach to structure information about personal clinical diagnosis and concordant medical interventions in treatment of TB patients at the level of specialized and high-tech care delivery

Material and methods. Materials included modern classifications of pulmonary tuberculosis, standards of medical care in phthisiopulmonology, Federal clinical recommendations for diagnosis and treatment of pulmonary tuberculosis, scientific literature and patients’ charts. The system approach methodology to structure information and principle of discreteness of information vectors of clinical diagnosis characteristics have been used.

Results. The study shows that basic characteristics of clinical diagnosis (stage, phase, severity, additional factors of causes and conditions affecting prognosis of clinical developments and choice of medical interventions, severity degree of clinical situation) still lack common definitions. Structure for basic characteristics of clinical diagnosis was presented and definitions were formulated. Each characteristic was represented by a discrete information vector making it possible to use digital codes to store personalized clinical diagnosis in electronic databases.

Conclusion. The system approach methodology for structuring information space of clinical situations and implementation of discrete information vector characteristics of clinical diagnosis help to realize the enormous potential of information technologies to monitor quality of clinical decisions and enrich evidence-based data in phthisiopulmonology.

Key words: quality clinical practice; information structure; phthisiopulmonology.

References

1. Ariel' B. M. Morfologicheskie osobennosti fibrozno-kavernoznogo tuberkuleza legkikh na operatsionnom materiale [Morphological characteristics of the pulmonary fibrous-cavernous tuberculosis at the postoperative samples] Arkhiv patologii 2004; (1):14–18 (In Russian).
2. Ob osnovakh okhrany zdorov'ya grazhdan v Rossiiskoi Federatsii [About the basis for public health protection in the Russian Federation]. Federal'nyi zakon ot 21 noyabrya 2011 g. N 323-FZ. [Online] 2011 [cited 2016 Oct 28]. Available from: https://rg.ru/2011/11/23/zdorovie-dok.html (In Russian).
3. Pomel'tsov K.V. Rentgenologicheskaya diagnostika tuberkulyoza legkikh [X-ray diagnosis of pulmonary tuberculosis]. Moscow: Meditsina; 1965. 395 p. (In Russian).
4. Prigozhin I., Stengers I. Poryadok iz khaosa: Novyi dialog cheloveka s prirodoi [Order from Chaos: New Dialogue of Human with Nature]. [Transl. from Eng.]. Moscow: Progress; 1986. 432p. (In Russian).
5. Svetun'kov S.G., Khan T.V. Logiko-gnoseologicheskaya terminologiya v ekonomike (kratkiy slovar') [Logical and epistemological terminology in economy (brief vocabulary)]. St. Petersburg: SPbGUEF; 2004. p.115–117 (In Russian).
6. Tlostanova M.S., Popova E.A., Avetisyan A.O., Blyum N.M., Kozak A.R., Petrun'kin A.M.Vozmozhnosti pozitronno-emissionnoy tomografii s 18F-ftordezoksiglyukozoy i 11S-metioninom v opredelenii aktivnosti tuberkuleza legkikh: metabolicheskie i morfologicheskie paralleli. [Opportunities of positron-emission tomography with 18F-ftordesocsiglucose and 11S-metionin for detection of pulmonary tuberculosis activity: metabolic and morphology parallels]. Sovremennye tekhnologii v meditsine 2014; 6(4):78-84 (In Russian).
7. Federal'nye klinicheskie rekomendatsii po diagnostike i lecheniyu tuberkuleza organov dykhaniya s mnozhestvennoy i shirokoy lekarstvennoy ustoychivost'yu vozbuditelya [Federal Clinical Recommendations for diagnostic and treatment of pulmonary tuberculosis with multiple- and extra-drug resistance of Micobacteria tuberculosis]. Moscow - Tver': OOO «Izdatel'stvo «Triada». 2014. 72p. (In Russian).
8. Filosofskaya entsiklopediya [Philosophic encyclopedia]. [Online] 2000 [cited 2016 Oct 28]. Available from: http://dic.academic.ru/dic.nsf/enc_philosophy/3747 (In Russian).
9. Ftiziatriya. Natsional'nye klinicheskie rekomendatsii [Phthisiology. National Clinical Recommendations]. Moscow: GEOTAR-Media; 2015. 240p. (In Russian).
10. Eshbi U.R. Vvedenie v kibernetiku. [Introduction to Cybernetics]. [Transl. from Eng.]. Moscow: ID Inostrannaya literatura; 1959. 433 p. (In Russian).
11. Salgame P., Geadas C., Collins L., Jones-Lopez E., Ellner J.J. Latent tuberculosis infection – revisiting and revising concepts. TubercEdinb 2015; 95(4): 373–384.
12. Ong C.W., Elkington P.T., Friedland J.S. Tuberculosis, pulmonary cavitation, and matrix metalloproteinases. Am J Respir Crit Care Med 2014; (190):9–18.

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:*