The Cloud-Enabled Architecture of the Clinical Data Repository in Poland

In this article, the authors, using information-systems modeling techniques, and considering current national legal regulations, present the cloud-enabled architecture of a clinical data repository. The patient's medical record is an important carrier of information necessary for accurate diagnosis and selection of the correct treatment process. Therefore, it is not surprising that since the beginning of the development of computer technologies, databases have been built to enable the management of a patient's medical records. These systems were most-often deployed locally at individual healthcare units, which carried certain limitations both in terms of the security and availability of the stored information, and the possibility of exchanging it with other clinics. However, recent developments in the standardization of medical information exchange in Poland, together with the revolution in cloud computing, have opened up completely new perspectives for clinical-data-repository implementations helping to make them far more sustainable. Although, the practical aspects of implementing clinical-documentation repositories are studied both in forums of European countries and also around the world; so far, no similar research was conducted with respect to Poland. This study tries to fill that gap by proposing a flexible multi-variant cloud-enabled architecture of the system providing the services of a clinical-data repository. The goal of the work was to propose such a system architecture that allows having a system that is either cloud-agnostic, that uses specifically selected cloud services, or that is even deployable locally. Thanks to the use of cloud computing services, the implemented system is characterized by high availability, scalability, and the possibility of exchanging data between medical institutions, which enables the improvement in the quality of medical processes for the whole Polish population.