Today, there are many e-medicine projects around the world that affect the field of data storage and provision of access to them. Thus, 51% of Brunei residents are registered in the national health information system Brunei Darussalam Healthcare Information and Management System (Bru-HIMS). The system contains information from electronic medical records, medical history, prescriptions and test results. At the moment, almost all Brunei residents must register in this system before seeking help from medical institutions.
However, the creation of such systems of access to medical data is always preceded by a huge work, which requires political support, since the key issue remains the security and confidentiality of such information, coupled with its intended use.
The next area is electronic prescriptions (e-Prescribing). It makes it easier for physicians to prescribe drugs to patients through a system that automatically compares drugs based on indications, frequency of use and other characteristics, clarifies the likelihood of a patient’s allergic reaction to the drug, and checks drugs for contraindications. Some countries are just beginning to move towards electronic prescriptions, while, for example, in France and Germany hand-written prescriptions are already banned.
An interesting project in the field of electronic prescription of medicines was implemented in a Singapore hospital. The main hospital in Singapore, designed to accommodate 1,500 people in the hospital, has completed the deployment of an information system that allows the automatic discharge and delivery of drugs necessary for treatment. The system was named Automated RFID Prescription Drug Delivery System (APDS).
The APDS system includes several component subsystems, the joint work of which ensures high project efficiency (Figure 5.19). These include:
- a system for processing information about patients and doctors’ appointments;
- prescription support system;
- control of the automatic system for dosing, selection, packaging and labeling of drugs;
- a navigation system for manual work (for medicines that need to be collected, LED technologies are used to illuminate the compartment with the necessary medicine);
- Conveyor using RF1D radio frequency identification, which moves, groups and directs packaged drugs onto the belt;
- robotic technology that puts drugs in special plastic bags.
By implementing the APDS system, Singapore’s main hospital has significantly simplified the dispensing process. According to statistics, 80% of patients were able to pick up their prescribed drugs within half an hour, and due to automation, the influence of the human factor (leading, for example, to confusion when dispensing drugs) was reduced.
There are medical ICs inseparably from the first areas, the functionality of which can vary significantly from case to case. In general, medical IS can be used to issue coupons for admission, manage medical data, manage organizational issues of the work of medical institutions, prescribe drugs, etc.
Telemedicine, which means remote delivery of medical services, also belongs to the field of e-Health. Telemedicine includes such areas as real-time consultations, tele-education, broadcasting of surgical operations and mobile telemedicine complexes. All technologies from this area are aimed at ensuring that residents and medical staff of any, even the most remote village, can get advice from major specialists in their field.