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

• Grant number: 16/20098-3
• Support Opportunities: Research Grants - Innovative Research in Small Business - PIPE
• Start date: August 01, 2017
• End date: March 31, 2020
• Field of knowledge: Engineering - Biomedical Engineering - Medical Engineering
• Agreement: FINEP - PIPE/PAPPE Grant
• Principal Investigator: Flavio Barbosa
• Grantee: Flavio Barbosa
• Company: Ciaware Centro de Informatizações e Análises Ltda
• CNAE: Desenvolvimento e licenciamento de programas de computador customizáveis ; Consultoria em tecnologia da informação ; Atividades de apoio à gestão de saúde
• City: Ribeirão Preto
• Associated researchers: Fabio Carmona ; Marco Andrey Cipriani Frade
• Associated research grant: 15/08612-0 - 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, AP.PIPE
• Associated scholarship(s): 18/12806-3 - 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, BP.TT; 18/12325-5 - 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, BP.TT; 17/27227-6 - 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, BP.TT; 17/16991-7 - 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, BP.TT; 17/16750-0 - 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, BP.PIPE

Abstract

Implementation of the Patient Electronic Medical Record (PEP) requires the transformation of patient's medical record on paper (legacy) to electronic through a centralized scanning service that provides them in a System of Electronic Documents Management (SGED, in portuguese) that allows coupling with PEP (SBIS, 2013; CFM, 2002). Outside the PEP, there is also the distributed capture of health information that has been increasing with the consumerization of Information and Communication Technologies (ICTs) creating authentic born-digital documents and generating a high volume and frequency of data (Câmara, 2014; Pinochet, 2014; Gambi & et.al., 2013; Figueiredo & et.al., 2013; Alkmim, 2012). To manage the born-digital documents created outside of PEP it is necessary to meet the model of requirements for Information Systems for Achivistic Management of Documents (SIGAD, in portuguese) (Coletto, 2015; Schäfer & Lima, 2012; CONARQ, 2011). The patient-centered model of health care is a global trend and a concern for doctors, paramedics, nurses and civil society due to the sharing of health information that run the risk of being stolen (Rathert & et. al., 2016). This and other issues have been being discussed for decades by scientific communities and the healthcare market in the world, resulting in international standards designed to ensure the privacy, security and availability of health information appropriately. The objectives of this phase of the project are: 1) improvement of the software artifacts built in phase 1; 2) Construction of new software artifacts that implement the international interoperability standards (IHE, HL7, openEHR and DICOM); 3) Project validation by the clinical staff of dermatology and pediatrics of a university hospital in São Paulo's countryside. The product of this project is CIAware V4, which centralizes health information capturing from patient records collections on paper up to vital signs on wearables (born-digital documents) considering the Brazilian legislation (CFM, SBIS and CONARQ), international standards of interoperability (IHE, HL7, openEHR and DICOM) and international norms (HIPPA). Following the idea of good practices and ethics inherent in these international health standards, it is possible to create a collaborative computational ecosystem able to empower the patient. Analogous to assembling blocks (like Lego®), the CIAware V4 is part of the computing ecosystem "CIAware Health" that will provide services from a doctor up to a hospital complex in a modular way, reducing barriers and providing opportunities for negotiation of the complete ecosystem and scanning services . Will be avaiable GED modules, PEP (App cwCare), PPP (App cwPeople), service to capture PACS images (Picture Archiving and Communication System). At this time, the images will be captured for documental purposes dispensing registration on ANVISA (Brazilian's national agency for sanitary vigilance).The target audience are the medical and paramedical clinics (101,989 in Brazilian Southeast), hospitals (2340 in Brazilian Southeast) and patients (about 30 million beneficiaries of health operators in Brazilian Southeast). Institutions and health professionals have been bringing the patient to spotlights and need a computerized solution capable of accomplishing this challenge in a innovative, flexible, easy, consistent, private, safe, legal, and future-proof way. This is the contribution expected to be achieved with this research project. (AU)