Architecture of interaction in the digital medical ecosystem

In the field of medical informatics, there is a steady trend towards the formation of a complex multicomponent ecosystem. The problems of interaction and integration of ecosystem components come to the forefront: medical, laboratory, radiological systems, EGISZ, EMIAS, MDLP, various registers and services, including those implementing AI approaches to data processing and problem solving. Patients are in dire need of personal offices that integrate their medical data, patients become active participants in the ecosystem. Integration tasks have to be solved in a highly heterogeneous information environment, when it becomes unattainable to ensure synchronous interactive interaction between ecosystem participants. For individual applications, a flexible combination of both synchronous and asynchronous interaction is required, selected situationally based on specific time delays and interaction characteristics.
The article proposes a special architecture that allows for synchronous and asynchronous interaction between ecosystem participants. Adapting software designed only for synchronous interaction to an asynchronous architecture does not require a radical redesign of the software. The approach was worked out using the example of adapting the MDLP MIS Interin module to work in the internal secure network of the multidisciplinary medical center of the Bank of Russia. The proposed architecture can be used by software developers in other fields of activity, where there is an active development of ecosystems, accompanied by an increase in integration interactions.