People living with diabetes have many medical devices available to assist with disease management. A critical aspect that must be considered is how systems for continuous glucose monitoring and insulin pumps communicate with each other and how the data generated by these devices can be downloaded, integrated, presented and used. Not only is interoperability associated with practical challenges, but also devices must adhere to all aspects of regulatory and legal frameworks. Key issues around interoperability in terms of data ownership, privacy and the limitations of interoperability include where the responsibility/liability for device and data interoperability lies and the need for standard data-sharing protocols to allow the seamless integration of data from different sources. There is a need for standardised protocols for the open and transparent handling of data and secure integration of data into electronic health records. Here, we discuss the current status of interoperability in medical devices and data used in diabetes therapy, as well as regulatory and legal issues surrounding both device and data interoperability, focusing on Europe (including the UK) and the USA. We also discuss a potential future landscape in which a clear and transparent framework for interoperability and data handling also fulfils the needs of people living with diabetes and healthcare professionals.
- MeSH
- diabetes mellitus * farmakoterapie MeSH
- elektronické zdravotní záznamy MeSH
- krevní glukóza MeSH
- lidé MeSH
- selfmonitoring glykemie * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Geografické názvy
- Spojené království MeSH
- MeSH
- digitální zdraví * MeSH
- elektronické zdravotní záznamy MeSH
- Evropská unie MeSH
- lidé MeSH
- telemedicína zákonodárství a právo MeSH
- zdravotní gramotnost MeSH
- zdravotnické informační systémy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
- Geografické názvy
- Česká republika MeSH
The International Classification of Diseases (ICD) hierarchical taxonomy is used for so-called clinical coding of medical reports, typically presented in unstructured text. In the Czech Republic, it is currently carried out manually by a so-called clinical coder. However, due to the human factor, this process is error-prone and expensive. The coder needs to be properly trained and spends significant effort on each report, leading to occasional mistakes. The main goal of this paper is to propose and implement a system that serves as an assistant to the coder and automatically predicts diagnosis codes. These predictions are then presented to the coder for approval or correction, aiming to enhance efficiency and accuracy. We consider two classification tasks: main (principal) diagnosis; and all diagnoses. Crucial requirements for the implementation include minimal memory consumption, generality, ease of portability, and sustainability. The main contribution lies in the proposal and evaluation of ICD classification models for the Czech language with relatively few training parameters, allowing swift utilisation on the prevalent computer systems within Czech hospitals and enabling easy retraining or fine-tuning with newly available data. First, we introduce a small transformer-based model for each task followed by the design of a transformer-based "Four-headed" model incorporating four distinct classification heads. This model achieves comparable, sometimes even better results, against four individual models. Moreover this novel model significantly economises memory usage and learning time. We also show that our models achieve comparable results against state-of-the-art English models on the Mimic IV dataset even though our models are significantly smaller.
- MeSH
- elektronické zdravotní záznamy MeSH
- klinické kódování * MeSH
- lidé MeSH
- mezinárodní klasifikace nemocí * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
Závěrečná práce NCONZO
1 svazek : grafy, tabulky ; 30 cm + 1 CD
- MeSH
- automatizované zpracování dat MeSH
- chorobopisy - počítačové systémy MeSH
- dokumentace metody normy MeSH
- elektronické zdravotní záznamy MeSH
- nelékařská zdravotnická povolání MeSH
- postoj k počítačům MeSH
- průzkumy a dotazníky MeSH
- sběr dat metody MeSH
- ukládání a vyhledávání informací metody MeSH
- zdravotničtí pracovníci MeSH
- Konspekt
- Lékařské vědy. Lékařství
- Teorie systémů. Automatické systémy. Informační systémy. Kybernetika
- NLK Publikační typ
- závěrečné zprávy
- MeSH
- elektronické zdravotní záznamy organizace a řízení MeSH
- informační systémy * organizace a řízení MeSH
- lidé MeSH
- registrace * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- novinové články MeSH
