G. S. Lebedev

The current condition of health informatics was characterized till now by absence of the general approaches to regulation of requirements to medical information systems and their full heterogeneity. At an information exchange between medical aid institutions and the insurance companies in each region of Russia the special rules operate. The problem of elimination of these disagreements is timely, important and actual. The decision of this problem according to the Russian legislation lies in sphere of action of the Federal law "About technical regulation". The law defines that application of procedure of an estimation of conformity of medical information systems by certification about conformity to national standards will allow to enter uniform requirements to them. The considered national standard allows to establish uniform requirements to all medical information systems used in medical aid institutions of the Russian Federation, at an information exchange for the treated patients. By working out of the national standard the order and rules of an information exchange for the treated patients has been defined, the structure of data from medical aid institution in the insurance company is defined, the uniform formalism of data presentation is developed, uniform qualifiers are generated and the maintenance of information parcels is defined. For designing and visual representation of structure of information objects in the standard diagrams of classes UML are used. As a result of designing the platform-independent specification of structure of classes of objects which can be if necessary transformed to descriptions of information objects in language abstract syntactic notations, in schemes in language XML and in other specifications of structure of the data is created. The structure of the data breaks into auxiliary classes and the given accounts. The structure of auxiliary classes includes 35 classes which are used in tables of a basic classes. Specification includes four essences, characterizing process of an information exchange: the account on payment, the data of patients, a medical aid case, a payment source. Completely detailed structure off essences allows to enter unification in all the medical information systems using this standard. The standard has come into force since May, 1st, 2009. Its application will bring the serious contribution to construction of a uniform information field of public health services of the Russian Federation.