V.I. Budzko – Dr.Sc.(Eng.), Deputy Director,
Institute of Informatics Problems of FRC CSC RAS (Moscow);
Member of Russian Cryptography Academy;
Associate Professor,
National Research Nuclear University MEPhI (Moscow Engineering Physics Institute);
Moscow Institute of Electronics and Mathematics, National Research University Higher School of Economics E-mail: vbudzko@ipiran.ru
A.V. Shmid – Dr.Sc.(Eng.), Professor, The Science Head, EC-leasing Co;
The Head of the Chair “Information and Analytical Systems”,
Moscow Institute of Electronics and Mathematics, National Research University Higher School of Economics E-mail: avshmid@yandex.ru
Health care covers all the country's populations. The proliferation of mobile devices, the availability of high-speed wireless networks and their impact on the daily life of large populations have become key factors contributing to the introduction of mobile devices in the health sector. There is an acute shortage of health workers in the country. The medical services offered with the help of mobile devices better cover and influence even in very remote places and with a lack of medical resources. After the introduction of means of informatization in healthcare and the development of telemedicine, which relates to the use of information and communication technologies for health-related services, in mobile healthcare systems, mobile devices for recording various parameters of the human body are increasingly being used. Health informatization involves the digitization of patient records, thereby creating an electronic infrastructure for storing patient data. Mobile devices can be used to collect and enter a variety of health-related data collected from patients into automated health information systems, as well as to inform relevant medical personnel about them.
At the same time, the use of artificial intelligence and other areas of cognitive technology is developing to increase the efficiency and effectiveness of data processing in the field of healthcare.
Finally, the above areas allow us to create new, more favorable and productive conditions for training, exchange of experience and advanced training of medical workers. The digital transformation of healthcare in Russian Federation is at the initial stage of its development. This allows timely measures to be taken to ensure its effective formation by taking into account the experience of other countries where such a transformation is more advanced. A prerequisite for the success of the digital transformation of healthcare is the organization of maintaining a single electronic medical record for each resident of the country. Only then can mobile telemedicine develop successfully. The management and storage of electronic medical records should be carried out by the Unified State Health Information System, which belongs to the category of critical information technologies and must satisfy all information security requirements. Managing the process of creating and ensuring the life cycle of such a system is an important state task, the solution of which will require the involvement of qualified research and production teams.
An analysis is made of the development status of the Unified State Health Information System (USHIS) of Russia, which made it possible to identify the main aspects that influence the effectiveness of its development and to determine the basic principles and directions for creating a full-blown USHIS of Russia.
Based on the analysis of domestic and foreign experience in building a national USHIS, the main directions of its development are determined. The necessary organizational and technical measures are substantiated. The requirements are formulated for the construction of a single information and linguistic support, information security system, life cycle support system. Using the CardioQVARK mobile device as an example, the issues of ensuring information security, the life cycle and scientific and methodological support of the USHIS were considered. The creation of such a system and ensuring its life cycle should be carried out in accordance with all the rules for the construction of large-scale geographically distributed automated high-availability systems.
- Zhang K., Shen X. Security and Privacy for Mobile Healthcare Networks. – Springer International Publishing Switzerland. 2015. DOI: 10.1007/978-3-319-24717-5
- Williams D., Addo I., Ahsan G.M.T., Rahman F., Tamma C., Ahamed S.I. Privacy in Healthcare. In: Zeadally S., Badra M. (eds.) Privacy in a Digital, Networked World. Computer Communication and Networks. Springer. 2015. P. 85-110. DOI: 10.1007/978-3-319-08470-1_5
- Bhatt C., Dey N., Ashour A.S. (Eds.) Internet of Things and Big Data Technologies for Next Generation Healthcare. – Springer International Publishing AG 2017. DOI 10.1007/978-3-319-49736-5
- Raj P., Raman A.C. The Internet of things: enabling technologies, platforms, and use cases. International Standard Book Number-13. Taylor & Francis Group, LLC, CRC Press. 2017.
- Gusev A.V., Khramtsovskaya N.A. O pravomochnosti vedeniya elektronnoy meditsinskoy karty. [Electronnyy resurs] URL: = https://www.kmis.ru/media/files/o_pravomochnosti_vedeniya_elektronnoy_medicinskoy_karty.pdf (data obrashcheniya: 30.08.2019) (in Russian).
- Batra S., Sachdeva S. Managing Large-Scale Standardized Electronic Health Records. In: Pyne S., Rao B., Rao S. (Eds.) Big Data Analytics. Springer India. 2016. P. 201-219. DOI 10.1007/978-81-322-3628-3
- Newman D. Top 10 Digital Transformation Trends For 2020 [Electronnyy resurs] URL: = https://www.forbes.com/sites/danielnewman/2019/07/14/top-10-digital-transformation-trends-for-2020/#25565ec576be (data obrashcheniya: 25.08.2019).
- Prikaz Ministerstva zdravookhraneniya Rossiyskoy Federatsii ot 15.12.2014 N 834n "Ob utverzhdenii unifitsirovannykh form meditsinskoy dokumentatsii. ispolzuye-mykh v meditsinskikh organizatsiyakh. okazyvayushchikh meditsinskuyu pomoshch v ambulatornykh usloviyakh. i poryadkov po ikh zapolneniyu" [Electronnyy resurs] URL: = http://base.garant.ru/70877304 (data obrashcheniya: 25.08.2019) (in Russian).
- Prikaz Ministerstva zdravookhraneniya Rossiyskoy Federatsii ot 09.01.2018 N 2n "O vnesenii izmeneniy v prikaz Ministerstva zdravookhraneniya Rossiyskoy Federatsii ot 15.12.2014 N 834n "Ob utverzhdenii unifitsirovannykh form meditsinskoy dokumen-tatsii. ispolzuyemykh v meditsinskikh organizatsiyakh. okazyvayushchikh meditsinskuyu pomoshch v ambulatornykh usloviyakh. i poryadkov po ikh zapolneniyu" [Electronnyy resurs] URL: = rg.ru/2018/04/06/minzdrav-prikaz2-site-doc.html (data obrashcheniya: 13.08.2019) (in Russian).
- Interfeysy raboty s meditsinskim oborudovaniyem i standarty peredachi medi-tsinskoy informatsii [Electronnyy resurs] URL: = http://old.ci.ru/inform23_06/it.htm (data obrashcheniya: 22.08.2019) (in Russian).
- A Recommendation for High-Availability Options in TPC Bench - break marks by Dean Brock, Data General [Electronnyy resurs] URL: = http://www.tpc.org/information/other/articles/ha.asp. (data obrashcheniya: 22.08.2019).
- Budzko V.I., Keyer P.A., Senatorov M.Yu. Sovremennyye podkhody k obespecheniyu katastrofoustoychivosti informatsionnotelekommunikatsionnykh sistem vysokoy dostupnosti. Sistemy vysokoy dostupnosti. 2008. T. 4. №1-2. S. 14-24 (in Russian).
- GOST R 56848-2015 Informatizatsiya zdorovia. Menedzhment znaniy standartov informatizatsii zdorovia (in Russian).
- GOST R 56849-2015/ISO/TR 17791:2013 Informatizatsiya zdorovia. Rukovodstvo po standartam bezopasnosti meditsinskogo programmnogo obespecheniya (in Russian).
- Budzko V.I. Informatsionnaya bezopasnost mobilnoy telemeditsiny // Materialy V Mezhdunar. nauchno-praktich. konf. «Upravleniye informatsionnoy bezopasno-styu v sovremennom obshchestve» (30 maya — 1 iyunya 2017 g.): Sb. nauch. tr. NIU «Vysshaya shkola ekonomiki». Akademiya informatsionnykh sistem. M.: Izd. dom Vysshey shkoly ekonomiki. 2017. S.36-39. (in Russian).
- Ayala L. Cybersecurity for Hospitals and Healthcare Facilities: A Guide to Detection and Prevention. Springer Science+Business Media New York. 2016. DOI 10.1007/978-1-4842-2155-6
- Zeadally S., Badra M. (Editors). Privacy in a Digital, Networked World: Technologies, Implications and Solutions. – Springer International Publishing Switzerland. 2015.
- Dhillon V., Metcalf D., Hooper M. Blockchain Enabled Applications. – Springer Science+Business Media New York Copyright. 2017. DOI: 10.1007/978-1-4842-3081-7
- Hu F. (ed.) Security and Privacy in Internet of Things (IoTs). Models, Algorithms, and Implementations. Taylor & Francis Group, LLC, CRC Press. 2016.
- Kardiomonitor CardioQVARK. Kontrol serdechno-sosudistoy sistemy. [Electronnyy resurs] URL: = http://cardioqvark.ru/ (data obrashcheniya: 13.08.2019) (in Russian).
- Budzko V.I. Organizatsionnoye obespecheniye AIS – faktor riska. Sistemy vysokoy dostupnosti. 2008. T. 4. № 3-4. S. 4-11 (in Russian).