In Moscow, more than 25 thousand directions for laboratory and instrumental research were prescribed by doctors to confirm the preliminary diagnosis made with the help of a tool based on artificial intelligence technology. This was announced by the Deputy Mayor of Moscow for Social Development Anastasia Rakova.
“We are actively using digital technologies in the metropolitan healthcare. This significantly saves time for doctors, which they can additionally devote to the patient. A unique medical decision support system was launched in October this year in all city polyclinics providing medical care to the adult population. Now it is used by more than three thousand doctors. For a month, more than 25 thousand directions for diagnostics were prescribed in the capital using an artificial intelligence-based tool,”said the vice-mayor.
The first module of the medical decision support system is assistance in making a preliminary diagnosis. Based on the symptoms entered into the system, the module, which works with the help of artificial intelligence, suggests the three most likely preliminary diagnoses. Having received a service offer, the doctor can choose one of the options offered to him or put his own. The module has been put into operation since the beginning of October and continues to improve based on the unique data of Moscow patients - for three weeks of use, the neural network has analyzed in real time about 100 thousand additional appointments with a preliminary diagnosis.
After a preliminary diagnosis has been made, the doctor proceeds to work with another instrument, which offers the most complete set of studies that must be carried out to confirm or refute it - “batch appointment”. The service allowed doctors to speed up the process of referring patients for diagnosis.
The studies offered by the system are divided into mandatory ones, which are already included in the package prescription, and additional ones that the doctor can prescribe according to his decision. For example, additional consultation with a specialist or laboratory research. The functionality of additional appointments includes the criteria that are visible to the doctor during work - they will show in which case it is necessary to appoint an additional study.
If the patient has recently undergone the necessary examination, the doctor may not prescribe it again, since he will see all the necessary information in the system. This approach allows not to miss even the most subtle details of the clinical picture. In this case, the final decision always rests with the doctor.
Along with the appointments, the patient receives a reminder on how to prepare for the research, as well as the timing and procedure for conducting them.
The project for digital support for doctors was developed by the Department of Healthcare in conjunction with the Department of Information Technologies of the city of Moscow and has been implemented on the basis of UMIAS since the end of 2019. The system is based on clinical protocols developed by the chief specialists of Moscow together with federal experts on the basis of clinical guidelines and international standards.