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Development of computing platform and mobile APPs to capture and health document management in paper and born-digital in accordance with Brazilian legislation (SBIS / CFM / CONARQ) and adherence to HIPAA law


Implement the Patient Electronic Medical Record (PEP) requires the patient's medical record transport on paper (legacy) for electronic through a centralized scanning service that delivers them in an Electronic Document Management System (SGED) to allow coupling with PEP (SBIS, 2013; CFM, 2002). Out of PEP, there is also the distributed capture health information have increased with the consumerization of Information and Communication Technologies (ICTs) (especially smartphones) creating born-digital documents and generating a volume and a wide frequency data (" Big Data ") (Hall, 2014; Pinochet, 2014; Gambi &, 2013; Figueiredo &, 2013; Alkmim, 2012). To manage the born-digital documents created outside of PEP is necessary to meet the model requirements for Information Systems Document Archival Management (SIGAD) (Coletto, 2015; Schäfer & Lima, 2012; CONARQ, 2011). So there are three issues that need appropriate solution: 1) paper documents received after scanning the legacy; 2) availability of born-digital documents in PEP; 3) photo-sharing (born-digital documents) that exposes the patient's problem among physicians using ICT (Alkmim, 2012; Hall &, 2014).The product of this project, including phases 1 and 2 of FAPESP / PIPE, is CIAware V4, a set of software artifacts that can be coupled to any PEP enabling centralized and distributed capture of paper documents and born-digital trailers a validated process that considers the requirements for SGED of SBIS / CFM and SIGAD the CONARQ, Brazilian law and US law HIPAA. It is part of the computational ecosystem "CIAware Health" that will meet from a doctor or paramedic to a hospital complex, but it can be marketed separately from CIAware Health, modular way, reducing entry barriers in health facilities and providing opportunities for trading the complete ecosystem. The CIAware V4 target public is the' offices, clinics and hospitals (about 61,000 in SP state) that have PEP deployed or not. Also marketing will be possible via app store (scalable) for healthcare professionals groups specialized doctors and paramedics who wish to create second-opinion services specialist or store properly your scanned files and born-digital (around 315 thousand professionals in SP state).However, involve patients and physicians in the construction of artifacts and process validation could jeopardize patients' health and medical care. So, in phase 1, they will be built and validated capturing (digitizing) 100 patient medical records on paper written in cursive of a permanent archive using the strategy "Minimum Viable Product" (MVP). In phase 2, with the approval of the ethics committee with the technical feasibility proven in phase 1, the artifacts will be evolved for the final product (CIAware V4) and validated in the medical care of the specialty of dermatology using ICTs to capture images of injury Skin second expert opinion and clinical case discussion. (AU)

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