Saint Petersburg, Russia is a megapolis with five million citizens and more than 300 healthcare providers, using 20 different hospital information systems. This session will discuss how St. Petersburg tries to achieve continuity of care using two-level information system architecture and HL7 FHIR as the interoperability standard. At the first stage, this work resulted in government-operated integrated EHR, that accumulates data from every laboratory and hospital information system. Then faced the problem of a huge quantity of documents, which made this EHR nearly impossible to read. So at the second stage, we categorized documents by the patient problem and made an automated algorithm for creation of the problem list. As a result, an effective, problem-oriented patient summary was implemented.
Identify benefits of patient summary and problem summary
Analyze the model of correspondence between illness and diagnosis developed in St.Petersburg to make possible the patient summary to be created automatically
Discuss several case studies of using patient summary in a clinician's workflow