Information and Analytical Support of Telemedicine Services for Predicting the Risk of Cardiovascular Diseases

A. Zakharov, Pavel Y. Gaiduk, K. Ponomarov, Dmitry V. Panfilenko, T. I. Pausova
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Abstract

The article is devoted to the identification and study of predictors for the personalized multivariate predictive models of the cardiovascular diseases’ risk based on the patient's digital footprint in the context of information and analytical support of telemedicine services. To build predictors - features of machine learning models, the methods for depersonalizing and extracting data from electronic medical records were developed. The paradigm “5P Medicine” -prevention, prediction, personalization, participation, practicality, formed the basis for the comparative analysis of models and obtaining the estimates of the degree of the cardiovascular diseases’ risk for personalized prediction. The created service prototype, using data from medical information systems, generates lists of problem patients who need an in-depth preventive examination. The developed prototype of a telemedicine information system ensures safe collection and analysis of medical data received, among other things, from mHealth devices. This makes it possible to determine additional predictors for assessing the patient's condition according to the information system of the home hospital. The original technology implemented in the system is based on attributive encryption to protect both the transmission and storage of personal health information in the cloud.
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预测心血管疾病风险的远程医疗服务的信息和分析支持
本文致力于在远程医疗服务的信息和分析支持背景下,基于患者数字足迹的心血管疾病风险个性化多变量预测模型的预测因子识别和研究。为了构建预测器——机器学习模型的特征,开发了从电子病历中去个性化和提取数据的方法。“5P医学”模式——预防、预测、个性化、参与、实用性,构成了模型对比分析的基础,获得了心血管疾病个性化预测风险程度的估计。创建的服务原型使用来自医疗信息系统的数据,生成需要进行深入预防性检查的问题患者列表。开发的远程医疗信息系统原型确保安全收集和分析从移动保健设备接收的医疗数据。这使得根据家庭医院的信息系统确定评估患者病情的其他预测因素成为可能。系统中实现的原始技术基于属性加密,以保护云端个人健康信息的传输和存储。
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