Health information systems: structural considerations, development and interoperability

Constantin Gaindric

doi:10.52673/18570461.26.1-80.02

Autori

Constantin Gaindric Institutul de Matematică şi Informatică "Vladimir Andrunachievici", USM https://orcid.org/0009-0003-2893-9626

DOI:

https://doi.org/10.52673/18570461.26.1-80.02

Cuvinte cheie:

sistem informațional medical, registru național de sănătate, fișă electronică medicală, fișă electronica de sănătate, interoperabilitate

Rezumat

Se examinează unele aspecte privind funcțiile și abordările posibile în elaborarea unui sistem informațional teritorial pentru domeniul sănătății. Se pune accentul pe principala sursă de date și informații – dosarul electronic de sănătate, care poate servi atât pentru managementul domeniului, cât și pentru gestionarea tuturor adresărilor pacientului la orice instituție medicală (clinică, laborator de analize, farmacie etc.). Se propun soluții pentru dezvoltarea sistemelor informaționale medicale, inclusiv pentru Republica Moldova, care ar contribui la un mod sigur și securizat al schimbului de date și informații între instituțiile medicale la care apelează părțile interesate din sistemul de sănătate (inclusiv pacienții), în procesul de diagnosticare, tratament, reabilitare, îngrijire etc.

Referințe

1. Systems Thinking for Global Health: How can systems-thinking contribute to solving key challenges in Global Health?, Frederique Vallieres, Hasheem Mannan, Naonori Kodate, and Fiona Larkan, Eds. 20 October 2022, Oxford Scholarship Online. https://global.oup.com/academic/product/systems-thinking-for-global-health-9780198799498?cc=md&lang=en& (consultat: 27.01.2026).

2. Resolution adopted by the General Assembly on 25 September 2015, Transforming our world: the 2030 Agenda for Sustainable Development, [online] https://docs.un.org/en/A/RES/70/1 (consultat: 27.01.2026).

3. AlKnawy, B.; Kozlakidis, Z.; Tarkom, S.; Bates, D.; Honkela, A.; Crooks, G.; Rhee. K.; McKillop, M. Digital public health leadership in the global fight for health security, BMJ Glob Health, 2023 Feb 15;8(2): e011454. https://doi.org/10.1136/bmj-gh-2022-011454

4. Khoja, S.; Durrani, H.; Nayani, P.; Fahim, A. Scope of policy issues in eHealth: results from a structured literature review, in: J. Med. Internet Res. 14 (1), 2012, 1-10. https://doi.org/10.2196/jmir.1633

5. A European Health Data Space: harnessing the power of health data for people, patients and innovation. 2022, [online] https://health.ec.europa.eu/publications/communication-commission-european-health-data-space-harnessing-power-health-data-people-patients-and_en (consultat: 27.01.2026).

6. Gerke, S.; Stern, A.D.; Minssen, T. Germany’s digital health reforms in the COVID-19 era: lessons and opportunities for other countries, NPJ Digit Med. 2020 Jul 10;3:94. https://doi.org/10.1038/s41746-020-0306-7

7. OECD, Towards an Integrated Health Information System in Korea, [online] https://www.oecd.org/en/publications/towards-an-integrated-health-information-system-in-korea_c4e6c88d-en.html (consultat: 26.01.2026).

8. A Coherent and Trustworthy Health Network for All. Digital health strategy 2018–2022, [online] https://www.ism.dk/Media/637643704565970267/A%20coherent%20and%20trustworthy%20health%20network%20for%20all.pdf (consultat: 24.01.2026).

9. Delussu, G.; Frexia, F.; Mascia, C.; Sulis, A.; Meloni, V.; Del Rio, M.; Lianas, L. A survey of openEHR Clinical Data Repositories, in: International Journal of Medical Informatics, Vol. 191, November 2024, 105591. https://doi.org/10.1016/j.ijmedinf.2024.105591

10. ISO/TR 14292:2012 Health informatics – Personal health records – Definition, scope and context), [online] https://www.iso.org/obp/ui/#iso:std:iso:tr:14292:ed-1:v1:en (consultat: 24.01.2026).

11. ISO 18308:2011, (Main), Health informatics - Requirements for an electronic health record architecture, [online] https://standards.iteh.ai/catalog/standards/sist/fe37c099-f2f6-46ec-b79d-4948a97c29d3/iso--18308-2011 (consultat: 10.12.2025)

12. D4.5 Public database inventorying the national health databases and registries and describing their access procedures for reuse for research purposes, [online] https://ecrin.org/news/public-database-inventorying-national-health-databases-and-registries (consultat: 10.12.2025).

13. PhRMA/EFPIA, Principles for Responsible Clinical Trial Data Sharing, [online] https://www.efpia.eu/media/qndlfduy/phrmaefpiaprinciplesforresponsibledatasharing2023.pdf (consultat: 10.12.2025).

14. CDISC: CDISC Standards in the Clinical Research Process, [online] https://www.cdisc.org/standards (consultat: 10.12.2025).

15. Research Patient Data Registry / Patient Data Science Repository / Azure Enclave, [online] https://rc.partners.org/about/who-we-are-risc/research-patient-data-registry (consultat: 16.12.2025).

16. Global Digital Health Movement ‘Digital Health Sans Borders’ launches at World Health Assembly side event in Geneva. ‘Geneva Declaration of Responsibility in Digital Health’ unveiled with support from global health leaders to advance ethical, cross-border digital healthcare delivery, [online] https://www.expresshealthcare.in/news/global-digital-health-movement-digital-health-sans-borders-launches-at-world-health-assembly-side-event-in-geneva/449169/ (consultat: 24.01.2026).

17. Nøhr, C.; Koch, S.; Vimarlund, V. et al. Monitoring and Benchmarking eHealth in the Nordic Countries, Studies in Health Technology and Informatics, Volume 247: Building Continents of Knowledge in Oceans of Data: The Future of Co-Created eHealth, 2018, 86-90. https://doi.org/10.3233/978-1-61499-852-5-86

18. Oladele, S. Challenges and Solutions for Interoperability in Health Informatics: A Focus on Data Privacy, [online] https://www.researchgate.net/publication/385885256, Challenges_and_Solutions_for_Interoperability_in_Health_Informatics_A_Focus_on_Data_Privacy (consultat: 24.01.2026).