Application for health record integration: a proposal for micro-municipalities based on literature

Aplicativo para integração de prontuário de saúde: uma proposta para micromunicípios

Authors

DOI:

https://doi.org/10.17765/2176-9206.2025v18e12898

Keywords:

Public health, Colletive health, Application, Medical record

Abstract

Health records play a crucial role in organizing healthcare services and ensuring the quality of public care. The computerized integration of these records can bring significant benefits to the sector. Objective: To present a proposal for a computerized system for integrating health records in public care, based on a bibliographic review. Method: An integrative literature review was conducted to support the proposal. Results: Based on the review, a unified architecture utilizing cloud computing and microservices was proposed to optimize healthcare management. This ensures scalability, flexibility, and interoperability, fostering efficient integration among providers, patients, and the government, while meeting the demands of an evolving system. Conclusions: The integration of health records is feasible and has the potential to enhance accuracy, speed, and efficiency in healthcare services, underscoring its importance in clinical practice and public health management.

Downloads

Download data is not yet available.

Author Biographies

Ana Júlia Almeida Rocha Silvério, Faculdade de Tecnologia de Bauru

Graduated from the Nursing course at Centro Universitário do Sagrado Coração. I participated in the extension project for three semesters "Wound Treatment Outpatient Clinic" and "Solidarity Friend", led by coordinating professor Dr. Márcia Nuevo Gatti. I developed a Scientific Initiation, guided by professor Taís Lopes Saranholi, named "Down Syndrome, from dependence to autonomy: a perception of professionals working at APAE", inspired by an online course promoted by UNESP in Bauru: "inclusive education: basic concepts for teaching and learning in Basic Education" and in the position in which I worked as an educational agent - caregiver until February 2023. I completed my Course Completion Work, guided by professor Ana Paula Ribeiro, named: "Nursing care for parturient women during labor childbirth and childbirth.” I participated in the Portuguese Language, English and Mathematics improvements provided by Unisagrado. Furthermore, I attended several lectures and took online and in-person certification courses, all in the area of nursing. Studying the fifth semester of the Hospital Management course at Fatec Bauru, in which I am developing a Scientific Initiation "Application for health record integration: a proposal for micro-municipalities based on literature". I currently work in the nursing field as a nurse in the Pediatric ICU at Hospital das Clínicas de Bauru.

Izadora Aparecida Cezaretto , Faculdade de Tecnologia de Bauru

Graduate of the FATEC Hospital Management course – Faculty of Technology of Bauru, has completed high school from Escola Estadual Professor Morais Pacheco – Bauru (2022).

Vinicius Santos Andrade, Faculdade de Tecnologia de Bauru

He is a computer technician from the Industrial Technical College "Prof. Isaac Portal Roldán" - Unesp/Bauru (2012). Computer Network Technologist from the Faculty of Technology of Bauru-FATEC/Bauru (2015). Master's degree in Computer Science from the São Paulo State University "Júlio de Mesquita Filho" - Unesp/S.J. do Rio Preto (2019). PhD in Sciences at the Hospital for Rehabilitation of Craniofacial Anomalies - HRAC/USP (2022). Has experience in development (Full Stack with Java) and multiplatform Mobile (Ionic). Since 2019 he has worked as a teacher at the Sagrado Coração University Center (UNISAGRADO / Bauru); in 2022 he took over the coordination of IT courses in the distance learning modality at the same institution. In 2023 he started working (also as a teacher) at the Faculty of Technology (FATEC) in Bauru, teaching Computer Networks and Hospital Management courses.

Marcos Antônio Bonifácio, Faculdade de Tecnologia de Bauru

PhD in Environmental Sciences from UNESP-Sorocaba; Master in Regional Development and Environment from UNIARA-Araraquara; Specialist in Production Engineering from UNESP-BAURU; and Bachelor of Administration from UNIARA-Araraquara. With more than 20 years of experience in the academic area, he works as an Evaluator of the National Higher Education Assessment System (BASis) and has extensive experience as a Professor in Undergraduate and Postgraduate courses at several Higher Education Institutions (HEIs). Furthermore, he played the role of Undergraduate and Postgraduate course coordinator, including the Postgraduate Program in Management and the International MBA in Angola, both at FAAG. Currently, he is an exclusive Research Professor at Fatec Jahu, where he develops research on the use of Augmented Reality (AR) for Autonomous Maintenance (AM). In the private sector, he has more than 25 years of experience in the industrial area, focusing on Industrial Production and Maintenance in large companies, both in Brazil and in the United States (Lake Wales-Florida). His expertise includes planning, projects and industrial management. He also has knowledge in Quality certifications, with experience in Internal and External audits, including the role of Lead Auditor accredited by the American ANSI-RAB and specialization in ISO-9000 standards.

Christiane Delmondes Versuti, Universidade de São Paulo

PhD in Communication from UNESP Bauru, with the project "Media literacy in teaching young people and contributions to citizen participation: workshops in schools in Brazil and Portugal. Participated in the PDSE Program - Sandwich Doctoral Program Abroad funded by CAPES in which she carried out her internship PhD at the University of Minho - UMinho, in Braga, Portugal. He was a FAPESP Fellow for the continuation and completion of the same project. Americas teaching courses and workshops for small companies. He worked as an Innovation Analyst and Service Designer at the company MJV Technology Innovation, worked on the Semper Gás project at SHV Energy/Supergasbras as an Innovation Analyst. He worked as a CNPq scholarship holder in the ALI Program (Local Agent). Innovation), in partnership with SEBRAE to promote Entrepreneurship and develop a Culture of Innovation in Small Businesses (2015 to 2017). Master in Communication from Universidade Estadual Paulista Júlio de Mesquita Filho in the Postgraduate program at FAAC (Faculty of Architecture, Arts and Communication) with the project: Rádio Unesp FM Fanpage: convergence and interactivity in favor of culture and citizenship (FAPESP funding) . Graduated in Social Communication: Public Relations from the same institution, during which she developed the Scientific Initiation project: The role of Public Relations and Multidisciplinary communication in the Sedimentation of the Organizational Image of an educational radio: Rádio UNESP FM, paying attention to issues such as organizational image, integrated communication, interactivity and digital social media (Fapesp financing). He also worked as a fellow at the Audiovisual Research and Documentation Center in the digitization of materials such as photos, newspapers, academic works and audiovisual products, in order to serve as research and memory preservation material for both the academic and civil communities. She studied a semester in the Communication Sciences course at the University of Minho, Portugal, through the Luso-Brazilian Santander Universities Scholarship. Currently works mainly on the following topics: media literacy, media education, citizenship, entrepreneurship, innovation and digital marketing.

References

1. Bates D. W. A importância da integração de dados na saúde. Rev Bras Inform Saúde. 2020;14(2):45-52.

2. Carvalho G. A saúde pública no Brasil. Estud Av. 2013;27:7-26. Disponível em: https://doi.org/10.1590/S0103-40142013000200002

3. Sampaio CSJC. Otimização do e-SUS para profissionais da Atenção Primária à Saúde. Ribeirão Preto; 2017. Disponível em: https://www.teses.usp.br/teses/disponiveis/22/22132/tde-29112017-193221/publico/CAMILASANTANAJUSTOCINTRASAMPAIO.pdf

4. Palomares MLE, Marques IR. Contribuições dos sistemas computacionais na implantação da sistematização da assistência de enfermagem. J Health Inform. 2010 jul-set;2(3):78-82. Disponível em: https://jhi.sbis.org.br/index.php/jhi-sbis/article/view/94/34

5. Mendes E, et al. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm [Internet]. 2018;17(4):758-64. Disponível em: https://doi.org/10.1590/S0104-07072008000400018

6. Toledo PPS, et al. Prontuário Eletrônico: uma revisão sistemática de implementação sob as diretrizes da Política Nacional de Humanização. Ciênc Saúde Colet. 2021;26(6):2131-2140. Disponível em: https://docs.bvsalud.org/biblioref/2022/01/1278739/pt.pdf

7. Patrício CM, et al. O prontuário eletrônico do paciente no sistema de saúde brasileiro: uma realidade para os médicos? Sci Med. 2011 jul-set;21(3):121-31. Disponível em: https://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/view/8723/6723

8. Gonçalves JPP, et al. Prontuário Eletrônico: uma ferramenta que pode contribuir para a integração das Redes de Atenção à Saúde. Saúde Debate. 2013;37(96):43-50. Disponível em: https://www.scielo.br/j/sdeb/a/xLMq3HyhgqNwhX6y3jjpNff/?lang=pt

9. Câneo PK, Rondina JM. Prontuário Eletrônico do Paciente: conhecendo as experiências de sua implantação. J Health Inform. 2014 abr-jun;6(2):67-71. Disponível em: https://jhi.sbis.org.br/index.php/jhi-sbis/article/view/289/197

10. Santos MC, Marin HF. Análise do uso de um sistema informatizado por gestores hospitalares. Acta Paul Enferm [Internet]. 2018. Disponível em: https://doi.org/10.1590/1982-0194201800002

11. Sato APS, et al. Use of electronic immunization registry in the surveillance of adverse events following immunization. Rev Saúde Pública. 2018;52. Disponível em: https://doi.org/10.11606/S1518-8787.2018052000295

12. Silva AB, et al. Registro eletrônico de saúde em hospital de alta complexidade: um relato sobre o processo de implementação na perspectiva da telessaúde. Ciên Saúde Colet. 2019;24(3):1133-1142. Disponível em: https://doi.org/10.1590/1413-81232018243.05982017

13. Ávila GS, et al. Difusão Do Prontuário Eletrônico Do Cidadão Em Equipes De Saúde Da Familia. Reme: Rev. Min. Enferm. 2021;25

14. Gomes DS, et al. Influências dos canais de comunicação, sistema social e tempo na difusão do prontuário eletrônico do cidadão no Brasil. Rev Cuba Inf Cienc Salud. 2021;32(4). Disponível em: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2307-21132021000400003&lng=es&nrm=iso [acesso em 21 set 2023].

15. Viola CG. Construção e validação de um instrumento para análise do Prontuário Eletrônico do Cidadão da Estratégia e-SUS Atenção Básica. Ribeirão Preto; 2019. Disponível em: https://teses.usp.br/teses/disponiveis/22/22133/tde-23102019-170743/publico/CAROLINAGRIGOLATOVIOLA.pdf

16. Santos LPR, et al. e-SUS AB na cidade do Rio de Janeiro: projeto e implantação do sistema de informação em saúde. Cad Saúde Coletiva. 2021;29:199-204. Disponível em: https://doi.org/10.1590/1414-462X202199010232

17. Schloeffel P, et al. The relationship between CEN 13606, HL7, and openEHR. In: HIC; 2006; Sydney, Australia. Johanna Westbrook & Joanne Callen (Eds).

18. Ricarte ILM. Percepções de privacidade em sistemas nacionais de prontuários eletrônicos: o caso australiano. Rev Cuba Inf Cienc Salud. 2020;31(1). Disponível em: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2307-21132020000100005&lng=es&nrm=iso

19. Coelho GC, Andreazza R, Chioro A. Integration among national health information systems in Brazil: the case of e-SUS Primary Care. Rev Saúde Pública. 2021;55:93. Disponível em: https://doi.org/10.11606/s1518-8787.2021055002931

20. Cunha FJAP. A gestão da informação nos hospitais: importância do prontuário eletrônico na integração de sistemas de informação em saúde. Salvador; 2005. Disponível em: https://repositorio.ufba.br/handle/ri/8174

21. Gröne O, Garcia-Barbero M. Integrated care: a position paper of the WHO European Office for Integrated Health Care Services. Int J Integr Care. 2001;1. Disponível em: https://doi.org/10.5334/ijic.131

22. Leichsenring K. Developing integrated health and social care services for older persons in Europe. Int J Integr Care. 2004;4. Disponível em: https://doi.org/10.5334/ijic.118

23. Sagar SM. Integrative oncology in North America. J Soc Integr Oncol. 2006;4(1):27-39.

23. Cash-Gibson L, Rosenmoller M. Project INTEGRATE-a common methodological approach to understand integrated health care in Europe. Int J Integr Care. 2014;14. Disponível em: https://doi.org/10.5334/ijic.1543

25. Stark Z, et al. Integrating genomics into healthcare: a global responsibility. Am J Hum Genet. 2019;104(1):13-20.

26. Abulatif LI. Processo de integração de dados - um modelo de gestão da informação para múltiplas bases de dados de acidentes de trânsito no Brasil. Epidemiol Serv Saúde [Internet]. 2018;27(2). Disponível em: https://doi.org/10.5123/S1679-49742018000200018

27. Tomazelli JG, Girianelli VR, Silva GAE. Estratégias usadas no relacionamento entre Sistemas de Informações em Saúde para seguimento das mulheres com mamografias suspeitas no Sistema Único de Saúde. Rev Bras Epidemiol. 2018. Disponível em: https://www.scielo.br/j/rbepid/a/MSjzSVfBmYLb6vFSvV8xMzB/?lang=pt#ModalHowcite

28. Maia LTS, et al. Use of linkage to improve the completeness of the SIM and SINASC in the Brazilian capitals. Rev Saúde Pública. 2017;51. Disponível em: https://doi.org/10.11606/S1518-8787.2017051000431

29. Coelho GC, Chioro A. Afinal, quantos Sistemas de Informação em Saúde de base nacional existem no Brasil? Cad Saúde Pública. 2021;37(7). Disponível em: https://doi.org/10.1590/0102-311X00182119

30. IBGE. Censo de 2022. IBGE; 2022. Disponível em: https://censo2022.ibge.gov.br/panorama/

31.IBGE. IBGE propõe debate de nova classificação para os espaços rurais e urbanos. Agência IBGE de Notícias. 2017. Disponível em: https://agenciadenoticias.ibge.gov.br/agencia-sala-de-imprensa/2013-agencia-de-noticias/releases/15003-ibge-propoe-debate-de-nova-classificacao-para-os-espacos-rurais-e-urbanos

32. Dias RDM. Modelagem do padrão TISS por meio do enfoque dual da Fundação openEHR. Rio de Janeiro; 2019. Disponível em: https://www.bdtd.uerj.br:8443/handle/1/8568

33. Ávila GS, et al. Difusão do prontuário eletrônico do cidadão em equipes de saúde da família. REME Rev Min Enferm. 2021;25(1). Disponível em: http://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S1415-27622021000100235&lng=pt&nrm=iso

Published

2025-09-03

How to Cite

Silvério, A. J. A. R., Cezaretto , I. A., Andrade, V. S., Bonifácio, M. A., & Versuti, C. D. (2025). Application for health record integration: a proposal for micro-municipalities based on literature : Aplicativo para integração de prontuário de saúde: uma proposta para micromunicípios. Saúde E Pesquisa, 18, e12898. https://doi.org/10.17765/2176-9206.2025v18e12898

Issue

Section

Artigos de Revisão